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Individual

COLE SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
775 POLE LINE RD W, TWIN FALLS, ID 83301-5814
(208) 814-2570
Mailing address
775 POLE LINE RD W STE 202, TWIN FALLS, ID 83301-5820
(208) 814-2570

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT-2374
ID

Other

Enumeration date
06/23/2008
Last updated
02/15/2018
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