Individual
MRS. MARY GRACE TECSON SHUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12510 E ILIFF AVE STE 210, AURORA, CO 80014-6377
(303) 732-6505
Mailing address
12510 E ILIFF AVE STE 210, AURORA, CO 80014-6377
(303) 732-6505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0016093
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-087-0501
STATE OF COLORADO
CO
Enumeration date
01/14/2019
Last updated
07/17/2024
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