Individual
TERESA BROCKWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8408 OLD EXCHANGE DR, COLORADO SPRINGS, CO 80920-4822
(719) 393-3158
(719) 218-9537
Mailing address
8408 OLD EXCHANGE DR, COLORADO SPRINGS, CO 80920-4822
(719) 393-3158
(719) 218-9537
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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