Provider Demographics
NPI:1215408356
Name:COHEN, DEBORAH J (OTR/L)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:COHEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DEVORAH
Other - Middle Name:J
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16063 CHASE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-6307
Mailing Address - Country:US
Mailing Address - Phone:626-422-8303
Mailing Address - Fax:
Practice Address - Street 1:16063 CHASE ST
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-6307
Practice Address - Country:US
Practice Address - Phone:626-422-8303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9017225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist