Individual
ALISHA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 E 71ST ST, CHICAGO, IL 60649-2612
(773) 721-5000
Mailing address
1340 S MICHIGAN AVE APT 705, CHICAGO, IL 60605-2611
(773) 647-0795
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070016420
IL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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