Individual
GUSTAVO DANIEL MOSQUEDA-CUELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3920 N UNION BLVD STE 160, COLORADO SPRINGS, CO 80907-4907
(719) 471-4221
(719) 471-3734
Mailing address
7651 SANDY SPRINGS PT, FOUNTAIN, CO 80817-4078
(970) 630-2899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015242
CO
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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