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Individual

MR. MARK A SEBES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7120
Mailing address
363 12TH ST, PENROSE, CO 81240-9052
(719) 293-0197

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013148
CO
225200000X
Physical Therapy Assistant
PTA0013148
CO

Other

Enumeration date
05/30/2013
Last updated
01/10/2025
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