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Individual

ISABEL ACEVEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3880 GRANT AVE STE 100, LOVELAND, CO 80538-8433
(970) 663-7780
Mailing address
3880 GRANT AVE, STE 100, LOVELAND, CO 80538-8433
(970) 663-7780

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070010200
IL
225100000X
Physical Therapist
Primary
PTL.0015665
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01633203
BCBS PIC
IL
01
1633794
BLUE CROSS PROVIDER
IL
Enumeration date
03/12/2007
Last updated
12/21/2018
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