Reginald Delaine Coles, PTA, MSW, LSW

NPI #1548491665 in Gordon, Pennsylvania

Provider Information

NPI Number: 1548491665
Entity Type: Individual
Name: Reginald Delaine Coles, PTA, MSW, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: PTA, MSW, LSW
Enumeration Date: Aug 6, 2009
Last Updated: Jan 24, 2024

Practice Location

Address: 312 HOBART ST
City: Gordon
State: Pennsylvania
ZIP Code: 17936
Phone: (570) 640-8478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Social Worker	104100000X	Primary

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