Individual
MS. JESSICA T-J COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2012 W SOUTHERN AVE, APACHE JUNCTION, AZ 85120-7305
(480) 983-0700
Mailing address
1367 S COUNTRY CLUB DR UNIT 1062, MESA, AZ 85210-5289
(860) 514-8415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046633
AZ
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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