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Individual

JASON COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, ATC, OTC

Contact information

Practice address
3434 PRYTANIA ST, SUITE 430, NEW ORLEANS, LA 70115-3532
(504) 899-6391
Mailing address
3434 PRYTANIA ST, SUITE 430, NEW ORLEANS, LA 70115-3532
(504) 899-6391

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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