Individual
JAYMIE R OWNBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3676 PARKER BLVD, SUITE 370, PUEBLO, CO 81008-2212
(719) 553-2209
(719) 553-2219
Mailing address
PO BOX 9000, PUEBLO, CO 81008-9000
(719) 553-2209
(719) 553-2219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-10433
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL-10433
STATE LICENSE
CO
Enumeration date
09/09/2009
Last updated
04/17/2013
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