Provider Demographics
NPI:1427025451
Name:COX, HEATHER R (OTR/C)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:R
Last Name:COX
Suffix:
Gender:F
Credentials:OTR/C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 CANYON RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-0953
Mailing Address - Country:US
Mailing Address - Phone:304-677-7372
Mailing Address - Fax:
Practice Address - Street 1:931 CANYON RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-0953
Practice Address - Country:US
Practice Address - Phone:304-677-7372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1235225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810004140Medicaid
WV3810004140Medicaid