Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0003982 | CO |
NPI | 1053727412 |
---|---|
Provider Name | Sonya Cohan |
First Address | Centennial, CO 80015-2431 |
Second Address | Centennial, CO 80015-2431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2014 |
Last Update Date | 07/07/2014 |