Individual
CARLTON S COLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
180 ALT US 19 N, SUITE B, PALM HARBOR, FL 34683
(727) 785-8737
(727) 786-8546
Mailing address
894 ISLAND WAY, CLEARWATER, FL 33767-1825
(772) 233-5487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23693
PHYSICAL THERAPY LIC #
FL
Enumeration date
08/11/2006
Last updated
05/13/2010
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