PROF. Robert Marvin Bischoff, PTA

NPI #1497966501 in Canon City, Colorado

Provider Information

NPI Number: 1497966501
Entity Type: Individual
Name: PROF. Robert Marvin Bischoff, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 915 INDUSTRIAL ST
Address 2: SUITE B
City: Canon City
State: Colorado
ZIP Code: 81212-3842
Phone: (719) 275-1014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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