Individual
MRS. FLORA N DEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
9559 PANCAKE ROCKS TRAIL, COLORADO SPRINGS, CO 80924
(719) 227-7109
Mailing address
9559 PANCAKE ROCKS TRAIL, COLORADO SPRINGS, CO 80924
(719) 227-7109
(719) 571-8001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5073
CO
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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