Most Relevant Information
Provider Data
| NPI Number: | 1003174012 |
| Provider Name: | STEPHANIE RENEE COLE LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 2010-2787 |
Most Important Dates
| Enumeration Date: | 04/26/2012 |
| Last Updated: | 04/26/2012 |
Provider Practice Location
3534 TEAYS VALLEY RD
HURRICANE
WV
255269054
Practice Location Phone/Fax
| Phone: | 3045508445 |
| Fax: |
Provider Mailing Location
4 CAROL DR
HURRICANE
WV
255269609
Provider Mailing Phone/Fax
| Phone: | 3045508445 |
| Fax: |