Individual ProviderDebra A ColeMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address709 N Main St Ste 4, North Syracuse, NY 13212-1662(315) 427-7408PECOS EnrollmentBased on the most recent information from CMS, provider Debra A Cole does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295300895Provider TypeIndividualFull NameCole, Debra ACredentialLMTGenderFemaleSole ProprietorYesEnumeration Date5/25/2021Last Updated5/25/2021Contact InformationPractice LocationPractice Address709 N Main St Ste 4, North Syracuse, NY 13212-1662Phone(315) 427-7408FaxUnlisted FaxMailing LocationMailing Address709 N Main St Ste 1, North Syracuse, NY 13212-1659Phone(315) 427-7408FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense010036New York