Individual
SHAWN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
845 SW 30TH ST, CORVALLIS, OR 97331-8629
(541) 768-7700
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
63076
OR
2251X0800X
Orthopedic Physical Therapist
8974
AZ
Other
Enumeration date
07/29/2010
Last updated
02/10/2021
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