| Woven Care | |
|
1301 Fortino Blvd Pueblo CO 81008-2032 | |
| (719) 696-7799 | |
| Not Available |
| Full Name | Woven Care |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 1301 Fortino Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Tanner Denn (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7194281840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woven Care 2233 Academy Pl Ste 200 Colorado Springs CO 80909-1666 Ph: (719) 597-0822 | Woven Care 1301 Fortino Blvd Pueblo CO 81008-2032 Ph: (719) 696-7799 |
| NPI Number | 1619580735 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619580735 | NPI | - | NPPES |
| 9000188140 | Medicaid | CO |
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