Individual
REBECCA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5811 WILD PLUM RD, CRYSTAL LAKE, IL 60014-4642
(847) 361-4487
(815) 788-1321
Mailing address
PO BOX 377, CRYSTAL LAKE, IL 60039-0377
(815) 276-7786
(815) 788-1321
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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