Individual
JONATHAN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 S 6TH ST, FAIRFIELD, IA 52556-3334
(323) 366-3717
Mailing address
54 1/2 N MAIN ST, FAIRFIELD, IA 52556-3205
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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