Individual
SUNIMAE ANNA BOCCADORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
656 DILLON WAY, AURORA, CO 80011-6803
(303) 344-0636
Mailing address
10112 QUIVAS ST, THORNTON, CO 80260
(720) 297-8018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012357
CO
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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