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Individual

JUAN CARLOS SANTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2445 E CACHE LA POUDRE ST, COLORADO SPRINGS, CO 80909-4812
(719) 471-8700
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0016414
CO

Other

Enumeration date
07/01/2019
Last updated
07/01/2019
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