Provider Demographics
NPI:1487878336
Name:COX, HELEN DIANNE (DEVELOPMENTAL THERAP)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:DIANNE
Last Name:COX
Suffix:
Gender:F
Credentials:DEVELOPMENTAL THERAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22925 N TOMAHAWK TRL
Mailing Address - Street 2:
Mailing Address - City:CUBA
Mailing Address - State:IL
Mailing Address - Zip Code:61427-8500
Mailing Address - Country:US
Mailing Address - Phone:309-647-9744
Mailing Address - Fax:309-647-4394
Practice Address - Street 1:634 E ASH ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:IL
Practice Address - Zip Code:61520-2016
Practice Address - Country:US
Practice Address - Phone:309-647-9744
Practice Address - Fax:309-647-4394
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist