SearchIndiana235Z00000X

Justin Cole, SLP

NPI 1871166835 · on the registry since 2021 · sole proprietor

Practice

Address
4638 Craftsbury Cir
Fort Wayne, IN 46818
Phone
(260) 580-7956

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana