Provider Demographics
NPI:1154067692
Name:COX, EMILY DAWN (COTA/L)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:DAWN
Last Name:COX
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:DAWN
Other - Last Name:GOLLIHUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:MC DERMOTT
Mailing Address - State:OH
Mailing Address - Zip Code:45652-0055
Mailing Address - Country:US
Mailing Address - Phone:740-727-3643
Mailing Address - Fax:
Practice Address - Street 1:56 REGAL OAKS
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-9639
Practice Address - Country:US
Practice Address - Phone:304-638-3767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA007492224Z00000X
WVC2302224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant