Individual
MRS. ALYCE P PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 IDAHO AVE, ORDWAY, CO 81063-1328
(719) 267-3561
Mailing address
3 NORMANDY CIR, PUEBLO, CO 81001-1925
(719) 543-2735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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