MEDICARE: MISS SOLANGE MICHELLE COHN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	33996	CA

General Provider Information

NPI Number	:	1164750915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SOLANGE MICHELLE COHN DPT

Provider Business Mailing Address
First Line	:	10635 SANTA MONICA BLVD STE 165
Second Line	:
City	:	WEST LOS ANGELES
State	:	CA
Zip	:	90025-8306
Country	:	US
Telephone Number	:	310-273-0877
Fax Number	:

Provider Business Practice Location Address
First Line	:	5359 BALBOA BLVD
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-2819
Country	:	US
Telephone Number	:	310-273-0877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2009
Last Update Date	:	05/28/2026

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