Individual
JESSICA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3141 N 3RD AVE STE 100, PHOENIX, AZ 85013-4351
(602) 914-1520
Mailing address
2234 E ROMA AVE, PHOENIX, AZ 85016-5528
(402) 730-7647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5580
AZ
Other
Enumeration date
01/15/2015
Last updated
07/31/2024
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