Individual
JEAN PATTISON COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
205 N BERKLEY, COUNCIL, ID 83612-0000
(208) 253-4242
(208) 253-6849
Mailing address
PO BOX 428, COUNCIL, ID 83612-0428
(208) 253-4242
(208) 253-6849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1265
ID
Other
Enumeration date
04/28/2008
Last updated
04/23/2009
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