Individual
FERNANDO MARTIN MANRIQUE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 S 8TH ST, COLORADO SPRINGS, CO 80905-1926
(719) 477-6870
Mailing address
1775 S 8TH ST, COLORADO SPRINGS, CO 80905-1926
(719) 477-6870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0015588
CO
Other
Enumeration date
08/11/2018
Last updated
02/14/2019
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