Individual
JASON COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC, OTC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
ATH.200182
LA
246ZS0410X
Surgical Technologist
11-0217
—
363AS0400X
Surgical Physician Assistant
Primary
302676
LA
Other
Enumeration date
01/18/2012
Last updated
06/21/2016
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