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Organization
SUMMUS REHABILITATION
Active
Organization
SUMMUS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LYNN VANDERVOORT PT (PHYSICAL THERAPIST)
(503) 502-4946
Entity
Organization
Contact information
Practice address
5354 W 25TH AVE, EDGEWATER, CO 80214-1244
(503) 502-4946
Mailing address
3301 S MAGNOLIA ST, DENVER, CO 80224-2817
(503) 502-4946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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