Provider Demographics
NPI:1720364474
Name:COHN, JUDITH E (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:E
Last Name:COHN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 HIGH PASTURES CT
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-2418
Mailing Address - Country:US
Mailing Address - Phone:203-894-1110
Mailing Address - Fax:
Practice Address - Street 1:40 HIGH PASTURES CT
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-2418
Practice Address - Country:US
Practice Address - Phone:203-894-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001136225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist