Individual
AMY COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 MAIN ST APT 506, EVANSTON, IL 60202-4554
(312) 307-6704
Mailing address
515 MAIN ST APT 506, EVANSTON, IL 60202-4554
(312) 307-6704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010723
IL
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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