Individual
ZAC MIGUEL SUAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1555 MAIN ST # A 4/5, WINDSOR, CO 80550-5998
(970) 674-9675
Mailing address
1555 MAIN ST # A 4/5, WINDSOR, CO 80550-5998
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
0017981
CO
2251X0800X
Orthopedic Physical Therapist
0017981
CO
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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