Provider Demographics
NPI:1790220432
Name:COLE, REBECCA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35571 KELLER DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1945
Mailing Address - Country:US
Mailing Address - Phone:440-213-6399
Mailing Address - Fax:
Practice Address - Street 1:42101 GRISWOLD RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2117
Practice Address - Country:US
Practice Address - Phone:440-284-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist