Individual
MR. JOHN MARTIN COLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
6400 PURDUE DR, EUREKA, CA 95503-7095
(707) 443-5668
Mailing address
854 FOREST LAKE DR S, MACON, GA 31210-3214
(706) 577-6849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8187123-2402
UT
225200000X
Physical Therapy Assistant
PTA6341
AL
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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