JENNIFER SUZANNE BACON

FORT COLLINS, CO
NPI1417693094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA.0012574)
Enumeration Date2022-05-07
Last Update Date2022-05-07
Business Address
JENNIFER SUZANNE BACON PTA
1020 PATTON ST
FORT COLLINS, CO 80524-4018
Phone number: 970-484-7981
Mailing Address
JENNIFER SUZANNE BACON PTA
4125 SADDLE NOTCH DR
FORT COLLINS, CO 80526-3572
Phone number: 970-231-3338
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