Individual
TIFFANY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4859 STONEWALL CIR, VALDOSTA, GA 31605-7563
(478) 320-4683
Mailing address
4728 FIREFLY LN, PANAMA CITY, FL 32404-1229
(478) 320-4683
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
04/08/2025
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