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PROF. ROBERT MARVIN BISCHOFF PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1497966501

Individual Registrant:
PROF. ROBERT MARVIN BISCHOFF PTA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
915 INDUSTRIAL ST SUITE B CANON CITY, CO 81212-3842 US
Tel: 719-275-1014  Fax: --

Contact information for business:
902 GREENWOOD AVE APT 4  CANON CITY, CO 81212-3400 US
Tel: 719-429-5921  Fax: --

Registration Information:
NPI: 1497966501
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
COPENDING

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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