Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC006997L | PA |
NPI | 1003067562 |
---|---|
Provider Name | Mrs. Heather L. Cole |
First Address | Wallingford, PA 19086-6333 |
Second Address | Wallingford, PA 19086-6333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 02/10/2008 |