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Individual

GABRIELLE LR CUOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, ATC

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 756-6510
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTL.0009309
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102255371
OWCP FACILITY ID
Enumeration date
08/16/2006
Last updated
03/05/2025
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