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Individual

ELLEN ELIZABETH COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
220 13TH AVENUE PL NW, HICKORY, NC 28601-2532
(828) 328-5646
Mailing address
220 13TH AVENUE PL NW, HICKORY, NC 28601-2532
(828) 328-5646

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1975
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32646
MULTI SPECIALTY
Enumeration date
08/29/2019
Last updated
08/29/2019
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