Individual
MICHELL LYNN KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
23830 COUNTY ROAD 48, LA SALLE, CO 80645-8612
(970) 451-1234
(970) 284-7892
Mailing address
186 GARFIELD LN, ERIE, CO 80516-7293
(303) 386-3243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0009428
CO
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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