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Organization
GUNBARREL PHYSICAL THERAPY AND MASSAGE
Active
Organization
GUNBARREL PHYSICAL THERAPY AND MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S PERILLO (OWNER)
(303) 530-4415
Entity
Organization
Contact information
Practice address
6545 GUNPARK DR, SUITE #270, BOULDER, CO 80301-3347
(303) 530-4415
(303) 530-4413
Mailing address
6545 GUNPARK DR, SUITE #270, BOULDER, CO 80301-3347
(303) 530-4415
(303) 530-4413
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
42528420000
CO
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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