Individual
ELIETTE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4607 MANCHACA RD, AUSTIN, TX 78745-1607
(512) 916-1511
(512) 916-1532
Mailing address
4607 MANCHACA RD, AUSTIN, TX 78745-1607
(512) 916-1511
(512) 916-1532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
202126492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160934904
—
TX
Enumeration date
03/19/2007
Last updated
08/21/2024
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