Individual
MARA DANIELLE PACYGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
280 ZEREX ST., POB 1345, FRASER, CO 80442-1345
(970) 726-8503
(970) 726-8941
Mailing address
280 ZEREX ST, POB 1345, FRASER, CO 80442-1345
(970) 726-8503
(970) 726-8941
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7663
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7663
STATE PT LICENSE
CO
Enumeration date
12/15/2006
Last updated
01/23/2008
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