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1902502354
JONATHAN DAVID COHEN
PUEBLO, CO
NPI
1902502354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015034)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
JONATHAN DAVID COHEN PTA
3525 E SPAULDING AVE
PUEBLO, CO 81008-2208
Phone number: 719-542-4444
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Mailing Address
JONATHAN DAVID COHEN PTA
900 W ABRIENDO AVE APT 106C
PUEBLO, CO 81004-1158
Phone number: 484-653-7780
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