Individual
AARON DEGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 BAYLOR ST, PUEBLO, CO 81005-1610
(719) 568-2780
Mailing address
39 BAYLOR ST, PUEBLO, CO 81005-1610
(719) 568-2780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014452
CO
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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