Miss Tessa Amelia Cole, OTR/L | |
1400 E Boulder St, Colorado Springs, CO 80909-5533 | |
(719) 365-5000 | |
Not Available |
Full Name | Miss Tessa Amelia Cole |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1400 E Boulder St, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831430487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0019X | Occupational Therapist - Physical Rehabilitation | 0003669 (Colorado) | Secondary |
225X00000X | Occupational Therapist | 104332 (Minnesota) | Primary |
Provider Name | Fox Rehabilitation Services Mn Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356802862 PECOS PAC ID: 0941542591 Enrollment ID: O20190430002455 |
Mailing Address | Practice Location Address |
---|---|
Miss Tessa Amelia Cole, OTR/L 1400 E Boulder St, Colorado Springs, CO 80909-5533 Ph: (719) 365-5000 | Miss Tessa Amelia Cole, OTR/L 1400 E Boulder St, Colorado Springs, CO 80909-5533 Ph: (719) 365-5000 |
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