Individual
MRS. DESTINY JOY SEEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80909-5619
(719) 630-3193
Mailing address
7646 ROB PT APT 202, FOUNTAIN, CO 80817-1377
(480) 686-1726
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015226
CO
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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