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NPI Code Detail

MEDICARE: BRENNA ANN COLE

MEDICARE: BRENNA ANN COLE
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
1221700000XArt Therapist

General Provider Information

NPI Number : 1780457374
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNA ANN COLE
Provider Business Mailing Address
First Line : 142 CANAL ST
Second Line :
City : SALEM
State : MA
Zip : 01970-4673
Country : US
Telephone Number : 978-548-6288
Fax Number :
Provider Business Practice Location Address
First Line : 127 CHASE AVE
Second Line :
City : LOWELL
State : MA
Zip : 01854-1400
Country : US
Telephone Number : 978-944-3978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2023
Last Update Date : 11/06/2023

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Directions to “ BRENNA ANN COLE ” Practice Location

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