Individual
MR. JONATHAN LEE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L, SIPT
Contact information
Practice address
12222 N CENTRAL EXPY, SUITE 115, DALLAS, TX 75243-3720
(972) 546-0411
(972) 559-1867
Mailing address
2708 BLACK SAGE DR, PLANO, TX 75093-3365
(561) 767-0082
(972) 559-1867
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112946
TX
225XP0200X
Pediatric Occupational Therapist
0006886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884440200
—
FL
Enumeration date
08/16/2006
Last updated
09/09/2010
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