Provider Demographics
NPI:1497014864
Name:COLE, MYRON LYNNE
Entity type:Individual
Prefix:MS
First Name:MYRON
Middle Name:LYNNE
Last Name:COLE
Suffix:
Gender:F
Credentials:
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Mailing Address - Street 1:9909 TOPANGA CANYON BLVD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-3602
Mailing Address - Country:US
Mailing Address - Phone:818-427-2279
Mailing Address - Fax:
Practice Address - Street 1:42112 RINGSTEM AVE
Practice Address - Street 2:#62C
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-1209
Practice Address - Country:US
Practice Address - Phone:818-427-2279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2013-02-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist