Provider Demographics
NPI:1649996026
Name:COHEN, CORI (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:CORI
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:CORI
Other - Middle Name:
Other - Last Name:ZAREM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:938 BRYNWOOD TER
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-3007
Mailing Address - Country:US
Mailing Address - Phone:423-228-7488
Mailing Address - Fax:423-558-3262
Practice Address - Street 1:938 BRYNWOOD TER
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-3007
Practice Address - Country:US
Practice Address - Phone:423-228-7488
Practice Address - Fax:423-558-3262
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5909225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty