Individual
AQUAYA S COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 WELLS RD STE 203, ORANGE PARK, FL 32073-3036
(904) 269-3522
Mailing address
653 MONUMENT RD APT 1608, JACKSONVILLE, FL 32225-6461
(678) 927-8359
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
06/15/2022
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