Organization
COLE PATHWAYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COLE PT (OWNER/AUTHORIZED OFFICIAL)
(830) 217-2136
Entity
Organization
Contact information
Practice address
167 STRACKBEIN DR, FREDERICKSBURG, TX 78624-5929
(830) 217-2136
(832) 995-0346
Mailing address
167 STRACKBEIN DR, FREDERICKSBURG, TX 78624-5929
(830) 217-2136
(832) 995-0346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050979
PT LICENSE
TX
Enumeration date
02/25/2021
Last updated
02/25/2021
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