Individual
GENEVIEVE COLORDO GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 CRAFT DR STE 100, ALAMOSA, CO 81101-2261
(719) 589-6425
Mailing address
177 CRAFT DR STE 100, ALAMOSA, CO 81101-2261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0017117
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/09/2023
Last updated
03/07/2023
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