Individual
BETH COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
18 INGOLD DR, DIX HILLS, NY 11746-7804
(631) 943-1419
Mailing address
18 INGOLD DR, DIX HILLS, NY 11746-7804
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004019-1
NY
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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