Individual
ANTHONY DIONGZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 MESA DR, BOULDER, CO 80304-3621
(209) 480-8413
Mailing address
2121 MESA DR, BOULDER, CO 80304-3621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013280
CO
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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