Individual
DR. GARY W COHEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LAT, ATC
Contact information
Practice address
4202 E FOWLER AVE, TAMPA, FL 33620-1878
(813) 396-9988
Mailing address
4202 E FOWLER AVE, TAMPA, FL 33620-1878
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1313
AZ
Other
Enumeration date
02/22/2016
Last updated
08/16/2024
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