Individual
MARY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 E CACHE LA POUDRE ST, COLORADO SPRINGS, CO 80909-4812
(719) 471-8700
Mailing address
8942 BELLCOVE CIR, COLORADO SPRINGS, CO 80920-7307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014077
CO
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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