Individual
MR. NICHOLAS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L, CAPS
Contact information
Practice address
9370 WINDSOR LAKE BLVD, COLUMBIA, SC 29223-1995
(803) 699-1121
Mailing address
360 RUTLEDGE PL, COLUMBIA, SC 29212-3134
(803) 413-1301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3660
SC
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
3660
SC
224ZL0004X
Low Vision Occupational Therapy Assistant
3660
SC
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
3660
SC
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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