Individual
STEVEN ZACHARY LONGENDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11839 RIDGE PKWY APT 1312, BROOMFIELD, CO 80021-6512
(770) 605-3429
Mailing address
11839 RIDGE PKWY APT 1312, BROOMFIELD, CO 80021-6512
(770) 605-3429
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014813
CO
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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