Individual
HARRY VROBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1334 ALEXANDER CIR, PUEBLO, CO 81001-2049
(719) 406-2745
Mailing address
1334 ALEXANDER CIR, PUEBLO, CO 81001-2049
(719) 406-2745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
13198
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13198
MEDICARE
CO
Enumeration date
08/09/2013
Last updated
08/09/2013
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