Individual
CODY RENEE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
250 FAIRVIEW RD, THOUSAND OAKS, CA 91361-2456
(330) 280-6227
Mailing address
2293 BIRCHFIELD ST, SIMI VALLEY, CA 93065-2512
(330) 280-6227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4007
CA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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