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Organization

MANUAL EDGE PHYSIOTHERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY D. BONACK P.T. (OWNER)
(719) 694-8342
Entity
Organization

Contact information

Practice address
6189 LEHMAN DR STE 202, COLORADO SPRINGS, CO 80918-5409
(719) 694-8342
(719) 694-8347
Mailing address
6189 LEHMAN DR STE 202, COLORADO SPRINGS, CO 80918-5409
(719) 694-8342
(719) 694-8347

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2373
CO

Other

Enumeration date
07/15/2009
Last updated
10/05/2018
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