Individual
MAUREEN CHUSLO BENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
701 PRAIRIE HAWK DR, CASTLE ROCK, CO 80109-8001
(720) 433-1258
Mailing address
701 PRAIRIE HAWK DR, CASTLE ROCK, CO 80109-8001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0005896
CO
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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