Provider Demographics
NPI:1003858689
Name:KOHN, ROBERT JR (PT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:KOHN
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2262 VAUGHN LN
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-3203
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1391 E HIGHLAND AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36703-3211
Practice Address - Country:US
Practice Address - Phone:334-875-6110
Practice Address - Fax:334-875-6747
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3668225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist