Individual
MADISON BERNACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 E FILLMORE ST, COLORADO SPRINGS, CO 80907-6433
(719) 473-1105
Mailing address
1340 E FILLMORE ST, COLORADO SPRINGS, CO 80907-6433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CO
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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