Individual
MICHAEL LESLIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2315PT
MT
2255A2300X
Athletic Trainer
51ATR
MT
Other
Enumeration date
05/03/2010
Last updated
02/01/2011
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