Provider Demographics
NPI:1336357920
Name:COHEN, DAVID H (ATC,LAT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:H
Last Name:COHEN
Suffix:
Gender:M
Credentials:ATC,LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 N LEE TREVINO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-3403
Mailing Address - Country:US
Mailing Address - Phone:915-434-5212
Mailing Address - Fax:915-598-4621
Practice Address - Street 1:2001 N LEE TREVINO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-3403
Practice Address - Country:US
Practice Address - Phone:915-434-5212
Practice Address - Fax:915-598-4621
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT07382255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer