Individual
TIARA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 FAYETTEVILLE ST, DURHAM, NC 27707-4126
(910) 286-6963
Mailing address
2106 HENNIKER ST, APEX, NC 27523-4842
(910) 286-6963
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
102723
NC
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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