Individual
ZADRA MADISON WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 W US HIGHWAY 50 STE 210, PUEBLO, CO 81008-1692
(719) 577-4104
Mailing address
3017 8TH AVE, PUEBLO, CO 81008-1218
(719) 569-2273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014383
CO
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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