Individual
RICO EMILIO VALLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
615 BRIDGER LN, COLORADO SPRINGS, CO 80909-5410
(719) 640-9778
Mailing address
615 BRIDGER LN, COLORADO SPRINGS, CO 80909-5410
(719) 640-9778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015173
CO
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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