Individual
VANESSA FISHENCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT, MMP
Contact information
Practice address
2004 S WORCHESTER WAY, AURORA, CO 80014
(303) 870-2880
Mailing address
2004 S WORCHESTER WAY, AURORA, CO 80014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-11309
CO
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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