Healthcare Provider Details

I. General information

NPI: 1265434435
Provider Name (Legal Business Name): AARON B COHRS PT
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3716B EXECUTIVE CENTER DR
MARTINEZ GA
30907-2359
US

IV. Provider business mailing address

3716B EXECUTIVE CENTER DR
MARTINEZ GA
30907-2359
US

V. Phone/Fax

Practice location:
  • Phone: 706-869-0505
  • Fax: 706-869-0520
Mailing address:
  • Phone: 706-869-0505
  • Fax: 706-869-0520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7037
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: