Provider Demographics
NPI:1821323692
Name:COHEN, MARLENE SAMUELS (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:SAMUELS
Last Name:COHEN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CREEK VIEW TER
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-2333
Mailing Address - Country:US
Mailing Address - Phone:610-825-0998
Mailing Address - Fax:610-825-0998
Practice Address - Street 1:1 CREEK VIEW TER
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-2333
Practice Address - Country:US
Practice Address - Phone:610-825-0998
Practice Address - Fax:610-825-0998
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000656L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics