Individual
ANGELA MARIE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1486 S ELLIOTT ST, PRYOR, OK 74361-8002
(918) 825-2333
(918) 825-6266
Mailing address
4812 E 33RD ST, TULSA, OK 74135-2038
(918) 622-4126
(918) 270-2398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
035598
NY
225100000X
Physical Therapist
Primary
4306
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OK
Enumeration date
06/02/2011
Last updated
11/29/2016
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