Provider Demographics
NPI:1316313356
Name:COHN, STEPHANIE LIEVENSE (PT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LIEVENSE
Last Name:COHN
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Gender:
Credentials:PT
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3280 PEACHTREE RD NE STE 110-B
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2430
Mailing Address - Country:US
Mailing Address - Phone:404-382-8702
Mailing Address - Fax:404-492-7034
Practice Address - Street 1:3280 PEACHTREE RD NE STE 110-B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2430
Practice Address - Country:US
Practice Address - Phone:404-382-8702
Practice Address - Fax:404-492-7034
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2025-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAPT012076208100000X
GA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation