Individual
MRS. DESIREE BLAIRE BUKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., DPT
Contact information
Practice address
4674 SNOW MESA DR, SUITE 140, FORT COLLINS, CO 80528-8615
(970) 266-3850
(970) 266-3855
Mailing address
2312 LIMOUSIN COURT, FORT COLLINS, CO 80526
(970) 589-4709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22569
MD
225100000X
Physical Therapist
Primary
9650
CO
Other
Enumeration date
06/20/2008
Last updated
01/11/2011
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