Individual
COLE EDWIN DELAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1711 MARTHA BERRY BLVD NW, ROME, GA 30165-1623
(706) 528-4207
(706) 528-4211
Mailing address
1711 MARTHA BERRY BLVD NW, ROME, GA 30165-1623
(706) 528-4207
(706) 528-4211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA005219
GA
Other
Enumeration date
03/01/2024
Last updated
05/03/2024
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