MEDICARE: RACHEL COHEN 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	225100000X	Physical Therapist	P19311	NC

General Provider Information

NPI Number	:	1497380141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL COHEN DPT

Provider Business Mailing Address
First Line	:	1721 ALLENS LN
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-3661
Country	:	US
Telephone Number	:	910-256-4442
Fax Number	:	910-256-4443

Provider Business Practice Location Address
First Line	:	1721 ALLENS LN STE 101
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-3662
Country	:	US
Telephone Number	:	910-256-4442
Fax Number	:	910-256-4443

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

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	03/03/2020

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Directions to “ RACHEL COHEN DPT” Practice Location

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