Individual
JACKLYN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9969 OLD HIGHWAY 70, MINOCQUA, WI 54548-9010
(715) 356-6016
Mailing address
3564 DRISCOLL RD APT 12, RHINELANDER, WI 54501-3675
(920) 615-6222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2777-19
WI
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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