FREDERICK BACA

PUEBLO, CO
NPI1306014121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2008-02-14
Last Update Date2008-02-14
Business Address
FREDERICK BACA PTA
1008 MINNEQUA AVE
PUEBLO, CO 81004
Phone number: 719-560-5417
Mailing Address
FREDERICK BACA PTA
DEPARTMENT 1188
DENVER, CO 80291-1188
Phone number: 303-486-5500
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