Individual
MARY B BOGENSCHUETZ-BONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4112 OUTLOOK BLVD, # 96, PUEBLO, CO 81008
(719) 562-6200
(719) 562-6225
Mailing address
4112 OUTLOOK BLVD, #96, PUEBLO, CO 81008
(719) 562-6200
(719) 562-6225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2685
CO
Other
Enumeration date
05/14/2008
Last updated
05/16/2008
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