Individual
MS. THEODORA J. BRONKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
215 E ORMAN AVE, PUEBLO, CO 81004-2143
(719) 549-7693
Mailing address
549 W JUANITA SPRINGS DR, PUEBLO WEST, CO 81007-1881
(719) 547-4875
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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