PAUL DAUGHERTY

PUEBLO, CO
NPI1326750035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA.0015015)
Enumeration Date2022-12-14
Last Update Date2022-12-14
Business Address
PAUL DAUGHERTY PTA
3715 THATCHER AVE
PUEBLO, CO 81005-1255
Phone number: 719-470-2281
Mailing Address
PAUL DAUGHERTY PTA
3715 THATCHER AVE
PUEBLO, CO 81005-1255
Phone number: 719-470-2281