Candice Bunting, PT, DPT | |
4430 Federal Blvd, Denver, CO 80211-1418 | |
(815) 713-7866 | |
Not Available |
Full Name | Candice Bunting |
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Gender | Female |
Speciality | Physical Therapist |
Location | 4430 Federal Blvd, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598228652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0016303 (Colorado) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1164620084 PECOS PAC ID: 2163339722 Enrollment ID: O20200204000475 |
Mailing Address | Practice Location Address |
---|---|
Candice Bunting, PT, DPT 4430 Federal Blvd, Denver, CO 80211-1418 Ph: (815) 713-7866 | Candice Bunting, PT, DPT 4430 Federal Blvd, Denver, CO 80211-1418 Ph: (815) 713-7866 |
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