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Individual

MRS. DYNA A SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4112 OUTLOOK BLVD STE 96, PUEBLO, CO 81008-1667
(719) 562-6200
Mailing address
4306 ST ANDREWS DR, PUEBLO, CO 81001-1165
(719) 766-3355

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0008400
CO

Other

Enumeration date
08/23/2023
Last updated
08/23/2023
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