| Doctor Name: | PHELAN COLE |
| NPI Number: | 1598015463 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 39416 |
| Business Practice Address: | 6180 Brockton Ave Ste 101 Riverside, CA - 925062228 |
| Business Phone Number: | 9517816653 |
| Business Fax Number: | 9512750159 |
| Mailing Address: | 6180 Brockton Ave, Ste 101 RIVERSIDE |
| State: | CA |
| Postal Code: | 925062228 |
| Phone Number: | 9517816653 |
| Fax Number: | 9512750159 |
| NPI Enumeration Date: | 09/18/2012 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 39416 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |