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Organization
NORTH BOULDER PHYSICAL THERAPY SPORTS REHABILITATION LLC
Active
Organization
NORTH BOULDER PHYSICAL THERAPY SPORTS REHABILITATION LLC
Active
Other names
North Boulder Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA JAN LAYNE PT (OWNER, MANAGING MEMBER)
(303) 601-6666
Entity
Organization
Contact information
Practice address
3000 CENTER GREEN DR, 110, BOULDER, CO 80301-2364
(303) 413-9903
(303) 413-9907
Mailing address
295 BROKEN FENCE RD, NORTH BOULDER PHYSICAL THERAPY/DEBRA LAYNE, BOULDER, CO 80302-9607
(303) 601-6666
(303) 447-3390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1413
CO
225XH1200X
Hand Occupational Therapist
NOT APPLICABLE
CO
Other
Enumeration date
05/05/2006
Last updated
03/01/2016
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