Individual
JONATHAN DAVID COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4776 EAGLERIDGE CIR, PUEBLO, CO 81008-2120
(719) 584-5205
(720) 723-7833
Mailing address
5328 GANNET LN, PUEBLO, CO 81008-9719
(484) 653-7780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015034
CO
Other
Enumeration date
02/06/2023
Last updated
04/18/2025
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