Individual
COLE VANAIRSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1625 E MAIN ST STE 104, EL CAJON, CA 92021-5223
(619) 873-2160
Mailing address
3 PLAZA MANZANA, ALPINE, CA 91901-3802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302742
CA
225100000X
Physical Therapist
LPT-31974
AZ
Other
Enumeration date
10/11/2021
Last updated
07/06/2023
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