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Organization
MOUNTAIN DESERT THERAPY, PC.
Active
Organization
MOUNTAIN DESERT THERAPY, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LYNN DUGUID PT (DIRECTOR)
(303) 345-4515
Entity
Organization
Contact information
Practice address
11450 MELODY DRIVE, C-101, NORTHGLENN, CO 80234
(303) 345-4515
Mailing address
PO BOX 350592, WESTMINSTER, CO 80035
(303) 345-4515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8516
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02204827
—
CO
Enumeration date
05/03/2007
Last updated
04/22/2016
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