Individual
ALISA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 440-9341
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 440-9341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4044
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200124830A
—
OK
Enumeration date
11/26/2007
Last updated
10/16/2015
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