Healthcare Provider Details

I. General information

NPI: 1912963976
Provider Name (Legal Business Name): JOSHUA COHEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 04/20/2020
Certification Date: 04/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 FEARRINGTON POST
PITTSBORO NC
27312-8555
US

IV. Provider business mailing address

229 FEARRINGTON POST
PITTSBORO NC
27312-8555
US

V. Phone/Fax

Practice location:
  • Phone: 919-636-2423
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7462
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: