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Individual

ANDREW MARK HOLLENBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2835 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1662
(719) 533-1318
(719) 533-1319
Mailing address
2835 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1662
(719) 533-1318
(719) 533-1319

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12487
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386066983
CO
Enumeration date
01/16/2014
Last updated
06/30/2021
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