Individual
CAMI MANCHEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E SWINK AVE, FOWLER, CO 81039-1245
(719) 251-9645
Mailing address
318 E SWINK AVE, FOWLER, CO 81039-1245
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0433
WY
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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