Eric A Buccello, PTA

NPI #1356940027 in Broomfield, Colorado

Provider Information

NPI Number: 1356940027
Entity Type: Individual
Name: Eric A Buccello, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 22, 2020
Last Updated: Oct 22, 2020

Practice Location

Address: 369 ELDORADO BLVD UNIT 324
City: Broomfield
State: Colorado
ZIP Code: 80021-3766
Phone: (623) 255-9520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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