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

MRS. TANQUERAE KISSY-VIRGINIA COLE, COTA

Active Sole Proprietor

MRS. TANQUERAE KISSY-VIRGINIA COLE, COTA is a Occupational Therapy Assistant healthcare provider located in BERKELEY, Missouri. NPI 1538420138 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BERKELEY, MO

Registration Details

NPI Number
1538420138
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2012 (14.164834154039 yrs)
Last Updated
May 31, 2012
License
2010026845 (MO)
Sole Proprietor
Yes

Practice Information

Address
4401 N HANLEY RD
BERKELEY, MO, 631342710
Browse MO providers · Browse ZIP 63134
Phone
3145217471
Primary Specialty
Occupational Therapy Assistant
224Z00000X
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.