Provider Demographics
NPI:1598114407
Name:KOHLER, AUBREY
Entity Type:Individual
Prefix:MS
First Name:AUBREY
Middle Name:
Last Name:KOHLER
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 1:5901 TOSCANA DR
Mailing Address - Street 2:APT 1223
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-3546
Mailing Address - Country:US
Mailing Address - Phone:407-715-2455
Mailing Address - Fax:
Practice Address - Street 1:5901 TOSCANA DR
Practice Address - Street 2:APT 1223
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-3546
Practice Address - Country:US
Practice Address - Phone:407-715-2455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 17529225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist