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Individual

AMY COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
27442 PORTOLA PKWY, SUITE 200, FOOTHILL RANCH, CA 92610-2823
(949) 282-5900
Mailing address
500 NE WOLF CREEK RD, MAYSVILLE, MO 64469-9020
(816) 449-2054

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01859
MO

Other

Enumeration date
01/20/2015
Last updated
01/20/2015
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