Healthcare Provider Details

I. General information

NPI: 1548895360
Provider Name (Legal Business Name): FRANCIS HENRY COLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2020
Last Update Date: 03/12/2020
Certification Date: 03/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7548 OLD TELEGRAPH RD
HANOVER MD
21076-1566
US

IV. Provider business mailing address

103 SEMINOLE AVE
CATONSVILLE MD
21228-5640
US

V. Phone/Fax

Practice location:
  • Phone: 540-520-9411
  • Fax:
Mailing address:
  • Phone: 410-852-5464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA3959
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: