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Search › Colorado › 224Z00000X

Alexander Vandurme, COTA

NPI 1275119018 · on the registry since 2021

Practice

Address
901 N Santa Fe Ave
Fountain, CO 80817
Phone
(719) 597-0822
Organisation at this address
Buck Jack Llc
Buck Jack Llc
Buck Jack Llc
Buck Jack Llc
Buck Jack, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Additional practice sites

  • 901 N Santa Fe Ave, Fountain, CO

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado