Individual
JESSICA MARIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
700 PARK AVE, NORFOLK, VA 23504-8050
(757) 823-9547
(757) 823-2316
Mailing address
700 TRELLIS WAY APT 303, VIRGINIA BEACH, VA 23462-1543
(734) 945-4244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001187
VA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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