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Organization
PHYSICAL THERAPY OF BOULDER
Active
Organization
PHYSICAL THERAPY OF BOULDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS LEN HANNA MS PT (OWNER PHYSICAL THERAPIST)
(303) 938-1141
Entity
Organization
Contact information
Practice address
3020 CARBON PL STE 330, BOULDER, CO 80301-6148
(303) 938-1141
(303) 938-1311
Mailing address
3020 CARBON PL STE 330, BOULDER, CO 80301-6148
(303) 938-1141
(303) 938-1311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3177
CO
Other
Enumeration date
03/29/2007
Last updated
04/02/2008
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