Healthcare Provider Details

I. General information

NPI: 1194846147
Provider Name (Legal Business Name): LAURA J COHEN PHD, PT, ATP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 S WALTER REED DR UNIT B
ARLINGTON VA
22206-4142
US

IV. Provider business mailing address

2410 S WALTER REED DR UNIT B
ARLINGTON VA
22206-4142
US

V. Phone/Fax

Practice location:
  • Phone: 404-370-6172
  • Fax:
Mailing address:
  • Phone: 404-895-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number2305207225
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPT008144
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number871330
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: