Individual
EARL JE BACUS ALQUIZALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
82 MAIN AVE, AKRON, CO 80720-1440
(702) 768-8356
Mailing address
52 LAKEVIEW CIR, FORT MORGAN, CO 80701-4701
(702) 768-8356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8486
CO
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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