Individual
TESSA BOCCUMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
(719) 549-2431
(719) 549-2570
Mailing address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
(719) 549-2431
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001201
CO
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
About Stedi
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