Provider Demographics
NPI:1811541659
Name:COHNEVANS
Entity Type:Organization
Organization Name:COHNEVANS
Other - Org Name:PHYSICAL THERAPY NOW PALM HARBOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-772-0953
Mailing Address - Street 1:33143 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3126
Mailing Address - Country:US
Mailing Address - Phone:727-772-0953
Mailing Address - Fax:727-216-3154
Practice Address - Street 1:33143 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3126
Practice Address - Country:US
Practice Address - Phone:727-772-0953
Practice Address - Fax:727-216-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT19324OtherMEDICAL LICENSE
FLPT35473OtherMEDICAL LICENSE