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Organization
MOUNTAINLAND THERAPY & ASSOCIATES PC
Active
Organization
MOUNTAINLAND THERAPY & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROBERT SIEGFRIED P.T. (OWNER)
(970) 887-2733
Entity
Organization
Contact information
Practice address
17 TEN MILE DR, UNIT D, GRANBY, CO 80446
(970) 887-2733
Mailing address
PO BOX 530, GRANBY, CO 80446
(970) 887-2733
(970) 887-0133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5490
CO
Other
Enumeration date
11/02/2006
Last updated
07/17/2019
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