Individual
SAMUEL COGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4480 CLASSIC DR, BLUE ASH, OH 45241
(513) 264-1678
Mailing address
4480 CLASSIC DR, BLUE ASH, OH 45241-2208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
07/12/2018
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