Individual
BRIAN TRAVIS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
600 W NORTH BLVD, LEESBURG, FL 34748-5063
(352) 787-9300
Mailing address
600 W NORTH BLVD, LEESBURG, FL 34748-5063
(352) 787-9300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29787
FL
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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