Individual
MARK MAGDALENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-0000
Mailing address
901 E 130TH CIR, THORNTON, CO 80241-1101
(949) 702-2516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0014105
CO
225100000X
Physical Therapist
41120
CA
Other
Enumeration date
03/15/2014
Last updated
03/26/2020
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