Provider Demographics
NPI:1083706865
Name:COHN, TARYN
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:COHN
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 1:1311 GAUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-3015
Mailing Address - Country:US
Mailing Address - Phone:985-649-6577
Mailing Address - Fax:985-649-7615
Practice Address - Street 1:8315 E 56TH ST STE 120
Practice Address - Street 2:SUITE 120
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-1023
Practice Address - Country:US
Practice Address - Phone:317-377-6400
Practice Address - Fax:317-377-1668
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008323A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3A354BD21Medicare PIN
LA3A354BD21Medicare UPIN
LA3A354CS21Medicare UPIN
LA3A354CS21Medicare PIN