Individual
MRS. CHERYL LYNN BRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1221 N MILDRED RD, CORTEZ, CO 81321-2218
(970) 564-2600
Mailing address
PO BOX 482, CORTEZ, CO 81321-0482
(970) 564-1611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0419
NM
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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