Individual
ALICIA RUTH SOUVIGNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 524-5218
Mailing address
4160 STONEHAVEN DR, COLORADO SPRINGS, CO 80906-4835
(505) 215-3094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2934
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21272263
—
NM
05
—
927981
—
AZ
05
—
97451070
—
CO
Enumeration date
10/14/2005
Last updated
11/01/2023
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