Provider Demographics
NPI:1588182968
Name:MILLER-COHEN, ELIANA FREY
Entity type:Individual
Prefix:MISS
First Name:ELIANA
Middle Name:FREY
Last Name:MILLER-COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10225 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3326
Mailing Address - Country:US
Mailing Address - Phone:301-962-6170
Mailing Address - Fax:
Practice Address - Street 1:10225 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3326
Practice Address - Country:US
Practice Address - Phone:301-962-6170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer