Individual
COLE JEREMIAH DARNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2312 LIBERTY LN, JEFFERSON CITY, MO 65109-6016
(573) 694-8958
Mailing address
2312 LIBERTY LN, JEFFERSON CITY, MO 65109-6016
(573) 694-8958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013028588
MO
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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