Jacklyn Cole

NPI #1467937342 in Minocqua, Wisconsin

Provider Information

NPI Number: 1467937342
Entity Type: Individual
Name: Jacklyn Cole
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 26, 2018
Last Updated: Sep 26, 2018

Practice Location

Address: 9969 OLD HIGHWAY 70
City: Minocqua
State: Wisconsin
ZIP Code: 54548-9010
Phone: (715) 356-6016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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