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Individual

MAILE A BOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3185 JANITELL RD, #100, COLORADO SPRINGS, CO 80906-4118
(719) 527-0848
(719) 527-0838
Mailing address
7622 MCLAUGHLIN RD, PEYTON, CO 80831-4710
(719) 495-3133
(719) 495-8685

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6157
AZ
225100000X
Physical Therapist
Primary
9821
CO

Other

Enumeration date
12/06/2006
Last updated
02/10/2008
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