Individual
COLE ALAN RICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6440
Mailing address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3134-19
WI
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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