BUCK JACK LLC

DENVER, CO
NPI1619575909
Doing Business AsTHE SHANDY CLINIC
Entity TypeOrganization
Authorized ContactREBECCA NEWMAN
Billing Manager
719-597-0822
Organization Subpart ?No
Primary Taxonomy225X00000X Occupational Therapist
Additional Taxonomies225100000X Physical Therapist
235Z00000X Speech-Language Pathologist,
Enumeration Date2020-10-09
Last Update Date2020-10-09
Business Address
BUCK JACK LLC
3901 E YALE AVE
DENVER, CO 80210-6646
Phone number: 719-597-0822
Mailing Address
BUCK JACK LLC
685 CITADEL DR E STE 580
COLORADO SPRINGS, CO 80909-5381
Phone number: 719-597-0822