Individual
CAROL MOORE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 S IRONTON ST, # 201, AURORA, CO 80012-2011
(828) 513-7279
Mailing address
456 S IRONTON ST, # 201, AURORA, CO 80012-2011
(828) 513-7279
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1030574
CO
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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