STEVEN ZACHARY LONGENDYKE

BROOMFIELD, CO
NPI1841881190
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  0014813)
Enumeration Date2021-01-29
Last Update Date2021-01-29
Business Address
STEVEN ZACHARY LONGENDYKE
11839 RIDGE PKWY APT 1312
BROOMFIELD, CO 80021-6512
Phone number: 770-605-3429
Mailing Address
STEVEN ZACHARY LONGENDYKE
11839 RIDGE PKWY APT 1312
BROOMFIELD, CO 80021-6512
Phone number: 770-605-3429