Doctor Name: | MRS. MELISSA COLE |
NPI Number: | 1073812129 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 33159 |
Business Practice Address: | 5895 Ball Rd Cypress, CA - 906303244 |
Business Phone Number: | 7148264957 |
Business Fax Number: | |
Mailing Address: | 5895 Ball Rd, CYPRESS |
State: | CA |
Postal Code: | 906303244 |
Phone Number: | 7148264957 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2011 |
NPI Last Update Date: | 03/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 33159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |