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Organization
WALDRON'S PEAK PHYSICAL THERAPY, P.C.
Active
Organization
WALDRON'S PEAK PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY WALDRON PT (OWNER)
(303) 543-7878
Entity
Organization
Contact information
Practice address
5387 MANHATTAN CIR STE 100A, BOULDER, CO 80303-4283
(303) 543-7878
(303) 543-7676
Mailing address
5387 MANHATTAN CIR STE 100A, BOULDER, CO 80303-4283
(303) 543-7878
(303) 543-7676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3455
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700883782
INDIVIDUAL NPI
CO
Enumeration date
10/18/2006
Last updated
03/11/2013
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