Individual
DEISI VASQUEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 S ALTON WAY, STE C-250, CENTENNIAL, CO 80112-2206
(877) 489-0790
Mailing address
3237 N GILPIN ST, DENVER, CO 80205-4013
(720) 545-6167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0012136
CO
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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