Individual
ANDRE ESSON FAULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3911 AMBROSIA ST STE 102, CASTLE ROCK, CO 80109-3887
(303) 870-8242
Mailing address
3208 SPRINGMEADOW CIR, CASTLE ROCK, CO 80109-7956
(337) 308-2701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015782
CO
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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