Individual
MICHELLE MARIE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 S MAIN ST, TIPTON, IN 46072-8200
(765) 675-9800
Mailing address
1826 N A ST, ELWOOD, IN 46036-1724
(260) 312-0474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002192A
IN
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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