Individual
ROB COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2031 AVONDALE ST, HUMBOLDT, TN 38343-1810
(731) 784-3655
Mailing address
31 GLEN DILLON DR, JACKSON, TN 38305-7837
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3628
TN
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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