Individual
DYLAN BROCKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15992 CALA ROJO DR, COLORADO SPRINGS, CO 80926-9314
(719) 371-4372
Mailing address
15992 CALA ROJO DR, COLORADO SPRINGS, CO 80926-9314
(719) 371-4372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015221
CO
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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