Individual
DUSTIN OSWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 GLENMOOR RD, CANON CITY, CO 81212-2723
(719) 429-6004
Mailing address
645 GLENMOOR RD, CANON CITY, CO 81212-2723
(719) 429-6004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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