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Organization
REVIVE PHYSICAL THERAPY, LLC
Active
Organization
REVIVE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREN COLLEEN FRAZIER PT, DPT (PHYSICAL THERAPIST)
(719) 251-8593
Entity
Organization
Contact information
Practice address
980 UTE LN, GUNNISON, CO 81230-8704
(719) 251-8593
Mailing address
980 UTE LN, GUNNISON, CO 81230-8704
(719) 251-8593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
01/07/2020
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