# LT PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063650935
- **Authorized official:** LISA TARR (OWNER/PT)
- **Authorized official phone:** (303) 627-1854

## Contact information

- **Practice address:** 5954 S QUATAR CT, CENTENNIAL, CO 80015-5015
- **Practice address phone:** (303) 627-1854
- **Mailing address:** 5954 S QUATAR CT, CENTENNIAL, CO 80015-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2009
- **Last updated:** 01/29/2009
