Provider Demographics
NPI:1194846147
Name:COHEN, LAURA J (PHD, PT, ATP)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:J
Last Name:COHEN
Suffix:
Gender:F
Credentials:PHD, PT, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 S WALTER REED DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-4142
Mailing Address - Country:US
Mailing Address - Phone:404-895-9500
Mailing Address - Fax:
Practice Address - Street 1:2410 S WALTER REED DR UNIT B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-4142
Practice Address - Country:US
Practice Address - Phone:404-370-6172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052072252251N0400X
GAPT0081442251N0400X
DC8713302251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology