Individual
SHANNON COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31 FERNICH COURT, MONTGOMERY, NY 12549
(845) 313-2906
Mailing address
31 FERNICH COURT, MONTGOMERY, NY 12549
(845) 313-2906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011734
NY
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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