Individual
RICHARD COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
884 CYPRESS WATERS BLVD, SUITE 300, DALLAS, TX 75019
(800) 929-2304
Mailing address
105 SARMIENTO LN, SUMMERVILLE, SC 29483-8441
(843) 709-3625
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3375
SC
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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