Individual
VIOLETA LOREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1637 29TH AVENUE PL, GREELEY, CO 80634-6822
(970) 356-8181
Mailing address
1637 29TH AVENUE PL, GREELEY, CO 80634-6822
(970) 380-8906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012184
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012184
—
CO
Enumeration date
08/29/2019
Last updated
08/29/2019
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