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Individual
SHAWN COLE
Active
Individual
SHAWN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
63076
OR
2251X0800X
Orthopedic Physical Therapist
8974
AZ
Other
Enumeration date
07/29/2010
Last updated
02/10/2021
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