Provider Demographics
NPI:1386125698
Name:COHEN, HOWARD BRUCE (CRT,RCP,RPFT,CPFT)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:BRUCE
Last Name:COHEN
Suffix:
Gender:M
Credentials:CRT,RCP,RPFT,CPFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 RAINDANCE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4096
Mailing Address - Country:US
Mailing Address - Phone:561-827-7248
Mailing Address - Fax:
Practice Address - Street 1:413 RAINDANCE DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4096
Practice Address - Country:US
Practice Address - Phone:561-336-8395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRC2945227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified