TRAVIS DANIEL WINGATE

LONGMONT, CO
NPI1720733652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  PTL.0018214)
Enumeration Date2022-02-18
Last Update Date2022-02-18
Business Address
TRAVIS DANIEL WINGATE
1551 PROFESSIONAL LN UNIT 145
LONGMONT, CO 80501-6968
Phone number: 720-494-3290
Mailing Address
TRAVIS DANIEL WINGATE
5460 AMANDA DR
LAURYS STATION, PA 18059-1334
Phone number: 610-739-7781
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