Individual
LAURIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1804 E 21ST ST, MISSION, TX 78572-3163
(956) 624-5209
Mailing address
1804 E 21ST ST, MISSION, TX 78572-3163
(956) 624-5209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111630
TX
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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