Theodora J. Bronken M.A., CCC-A

NPI 1063614394 - Audiologist - 231H00000X

NPI Details
NPI 1063614394
Gender Female
Enumeration Date 05/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
215 E ORMAN AVE
PUEBLO CO, 81004-2143, US
Phone (719) 549-7693
Fax
Business Location
549 W JUANITA SPRINGS DR
PUEBLO WEST CO, 81007-1881, US
Phone (719) 547-4875
Fax
Toxanomy
Taxonomy Code 231H00000X
License State
License Number
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According to our database, Ms. Theodora J. Bronken M.A., CCC-A NPI is 1063614394, taxonomy code is 231H00000X Theodora J. Bronken M.A., CCC-A physically located at 215 E Orman Ave, Pueblo CO, 81004-2143. NPI Number Theodora J. Bronken M.A., CCC-A has the Individual type.

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1063614394 NPI number is provided on an as is basis without warranty of any kind. 1063614394 is maintained by the National Plan & Provider Enumeration System. The contents of Theodora J. Bronken M.A., CCC-A are for informational purposes only.