Individual
FALLON RAE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
540 MAIN ST, BELLEVILLE, MI 48111-2650
(734) 489-6440
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303200
MI
Other
Enumeration date
01/31/2024
Last updated
02/05/2024
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