MEDICARE: BRITTANY COLE OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT13631	FL

General Provider Information

NPI Number	:	1205026986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY COLE OT

Provider Business Mailing Address
First Line	:	1325 SAN MARCO BLVD
Second Line	:	SUITE 200
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207
Country	:	US
Telephone Number	:	904-346-3465
Fax Number	:	904-858-6489

Provider Business Practice Location Address
First Line	:	100 DEERFIELD PRESERVE BLVD
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-5966
Country	:	US
Telephone Number	:	904-829-0814
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	04/16/2026

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Directions to “ BRITTANY COLE OT” Practice Location

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