Provider Demographics
NPI:1083149991
Name:COHN, CAROLINE ELISABETH (MSOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ELISABETH
Last Name:COHN
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 FORT EVANS RD SE
Mailing Address - Street 2:UNIT F
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-4137
Mailing Address - Country:US
Mailing Address - Phone:401-523-4068
Mailing Address - Fax:
Practice Address - Street 1:122 FORT EVANS RD SE
Practice Address - Street 2:UNIT F
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-4137
Practice Address - Country:US
Practice Address - Phone:401-523-4068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119-007302225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics