Provider Demographics
NPI:1518097161
Name:COHEN, TERI H (DC)
Entity Type:Individual
Prefix:DR
First Name:TERI
Middle Name:H
Last Name:COHEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6736 N. UNIVERSITY DR.
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321
Mailing Address - Country:US
Mailing Address - Phone:954-474-3919
Mailing Address - Fax:954-474-1799
Practice Address - Street 1:1802 N UNIVERSITY DR
Practice Address - Street 2:100B
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322
Practice Address - Country:US
Practice Address - Phone:954-474-3919
Practice Address - Fax:954-474-1799
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor