Provider Demographics
NPI:1366294282
Name:COHEN, EL-AD (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:EL-AD
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2590 WELTON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4268
Mailing Address - Country:US
Mailing Address - Phone:720-376-3694
Mailing Address - Fax:
Practice Address - Street 1:2590 WELTON ST STE 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4268
Practice Address - Country:US
Practice Address - Phone:720-376-3694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0019647225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist