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NPI Code Detail

MEDICARE: YVONNE BOVENZI PTA

MEDICARE:   YVONNE  BOVENZI  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA.0012417CO

General Provider Information

NPI Number : 1700254828
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVONNE BOVENZI PTA
Provider Business Mailing Address
First Line : 11993 W HORNSILVER MTN
Second Line :
City : LITTLETON
State : CO
Zip : 80127-3231
Country : US
Telephone Number : 720-261-8105
Fax Number :
Provider Business Practice Location Address
First Line : 4601 E ASBURY CIR
Second Line :
City : DENVER
State : CO
Zip : 80222-4722
Country : US
Telephone Number : 303-757-1228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2015
Last Update Date : 09/05/2015

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Directions to “ YVONNE BOVENZI PTA” Practice Location

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