Provider Demographics
NPI:1316173339
Name:KAHAN, TEHILA BETH
Entity type:Individual
Prefix:DR
First Name:TEHILA
Middle Name:BETH
Last Name:KAHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:TEHILA
Other - Middle Name:B
Other - Last Name:KAHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:1307 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4510
Mailing Address - Country:US
Mailing Address - Phone:718-252-3035
Mailing Address - Fax:
Practice Address - Street 1:1307 E 21ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4510
Practice Address - Country:US
Practice Address - Phone:718-252-3035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029438-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist