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Organization
WOODERSON PHYSIOTHERAPY
Active
Organization
WOODERSON PHYSIOTHERAPY
Active
Other names
Long Run Physiotherapy & Performance
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WOODERSON DPT (STAFF THERAPIST)
(620) 921-5446
Entity
Organization
Contact information
Practice address
1212 DELAWARE ST, DENVER, CO 80204-3610
(720) 776-0795
Mailing address
6431 E MINERAL PL, CENTENNIAL, CO 80112-3017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417212622
NPI
CO
Enumeration date
01/20/2022
Last updated
01/20/2022
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