Organization
COLE SKY THERAPY PLLC
Active
Other names
Cole Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON STARK OTR (PRESIDENT)
(713) 397-2708
Entity
Organization
Contact information
Practice address
9307 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-1570
(253) 201-1234
Mailing address
16835 DEER CREEK DR, SPRING, TX 77379-4968
(832) 423-6730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
03/24/2025
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