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Manual Edge Physical Therapy Specialists LLC

Physical Therapist in Monument, CO. Organization (NPI-2).

NPI number1265258024
StatusActive
Last updated in NPPESNov 26, 2024

Details

NPI
1265258024
Entity type
Organization (NPI-2)
Legal business name
Manual Edge Physical Therapy Specialists LLC
Organization subpart
No
Enumeration date
Nov 26, 2024
Certification date
Nov 26, 2024
Last updated
Nov 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

1840 Woodmoor Dr Ste 106
Monument, CO 80132-9098

Phone 719-694-9747 · Fax 719-694-9832

Mailing address

1840 Woodmoor Dr Ste 106
Monument, CO 80132-9098

Phone 719-694-9747 · Fax 719-694-9832

Authorized official

Timothy D Bonack
Ceo/Owner
7196948342

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