Individual
EBONEE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD NE, BLDG 400, SUITE 125, SANDY SPRINGS, GA 30328-6773
(678) 587-9922
Mailing address
6600 PEACHTREE DUNWOODY RD NE, BLDG 400, SUITE 125, SANDY SPRINGS, GA 30328-6773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004618
GA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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