Individual
MISS TESSA AMELIA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104332
MN
225XP0019X
Physical Rehabilitation Occupational Therapist
0003669
CO
Other
Enumeration date
03/06/2013
Last updated
12/30/2024
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