Individual
KRISTY D COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1901A MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-4076
Mailing address
PO BOX 822394, VICKSBURG, MS 39182-2394
(601) 638-4076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1319
MS
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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