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Organization
PUEBLO REHAB & ORTHOPEDIC THERAPY LLC
Active
Organization
PUEBLO REHAB & ORTHOPEDIC THERAPY LLC
Active
Other names
PRO Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LYNDSEY BROOKE LANGDON (OFFICE MANAGER)
(719) 542-4444
Entity
Organization
Contact information
Practice address
3525 SPAULDING AVE, PUEBLO, CO 81008-2208
(719) 542-4444
(719) 543-1990
Mailing address
3525 SPAULDING AVENUE, PUEBLO, CO 81008
(719) 542-4444
(719) 543-1990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187602900
DOL
—
01
—
CK6274
RAILROAD
CO
01
—
PU653628
BLUE SHIELD
—
Enumeration date
11/18/2005
Last updated
03/18/2016
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