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Organization
NORTH BOULDER PHYSICAL THERAPY
Active
Organization
NORTH BOULDER PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA JAN LAYNE PT (OWNER)
(303) 601-6666
Entity
Organization
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3034
(303) 402-1665
Mailing address
295 BROKEN FENCE RD, BOULDER, CO 80302-9607
(303) 601-6666
(303) 447-3390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1413
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124076583
NPI
—
Enumeration date
07/02/2015
Last updated
03/01/2016
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