Mario Jamie Cornejo
Mario Jamie Cornejo is a Physical Therapy Assistant in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2023.
- Licensed in
- CO
- In the registry since
- 2023
Practice location Address checks out
1201 W Abriendo AvePueblo, CO 81004-1003
Phone: (719) 543-1173
Fax: (719) 543-6325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA.0012995 (CO) |
|---|
Record details
| NPI number | 1710680335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2023 |
| Last updated in NPPES | March 23, 2023 |
| Certification date | March 23, 2023 |
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