Individual
FRED WORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3715 THATCHER AVE STE B, PUEBLO, CO 81005-1255
(719) 470-2281
(719) 301-7218
Mailing address
3715 THATCHER AVE STE B, PUEBLO, CO 81005-1255
(719) 470-2281
(719) 301-7218
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014563
CO
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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