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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COLE JORDAN WILSIE, PTA

Active Sole Proprietor

COLE JORDAN WILSIE, PTA is a Occupational Therapist healthcare provider located in FOUNTAIN VALLEY, California. NPI 1043896889 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FOUNTAIN VALLEY, CA

Registration Details

NPI Number
1043896889
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2021 (5.3740441412774 yrs)
Last Updated
Mar 22, 2021
License
51134 (CA)
Sole Proprietor
Yes

Practice Information

Address
18785 BROOKHURST ST STE 104
FOUNTAIN VALLEY, CA, 927087300
Browse CA providers · Browse ZIP 92708
Phone
6573014967
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in FOUNTAIN VALLEY, CA

Name Credential NPI
MRS. STACY GAYLE LANG PTA 1740553585
GABRIEL CHIU 1033665914
NOELLE COLLETTE ESQUER 1174162382
KRISTEN HUNTER PTA 1821697780
DANIEL JAMES THEILEN PTA 1386211324
KYLE ANTHONY VALENCIA 1811657414
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.