| Woven Care | |
|
1321 S Prairie Ave Pueblo CO 81005-2307 | |
| (719) 569-4411 | |
| Not Available |
| Full Name | Woven Care |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 1321 S Prairie Ave, 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 685 Citadel Dr E Ste 580 Colorado Springs CO 80909-5381 Ph: (713) 725-9181 | Woven Care 1321 S Prairie Ave Pueblo CO 81005-2307 Ph: (719) 569-4411 |
| NPI Number | 1982217097 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982217097 | NPI | - | NPPES |
| 9000191408 | Medicaid | CO |
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