Individual
CAROLE P COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
880 BLUE GENTIAN ROAD, STE # 190, EAGAN, MN 55121
(651) 789-8022
(651) 789-8028
Mailing address
11888 WELTERS WAY, EDEN PRAIRIE, MN 55347
(952) 941-7713
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
AA434803
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA434803
NBCOT
MI
Enumeration date
01/07/2013
Last updated
01/07/2013
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