Individual
MRS. BERTHA ELSA COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6 SAHALEE CT, JACKSON, NJ 08527-4041
(732) 616-7343
Mailing address
6 SAHALEE CT, JACKSON, NJ 08527-4041
(732) 616-7343
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09015000
NJ
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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