Individual
MISS GWENDOLYN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1525 LOWELL BLVD, DENVER, CO 80204-1543
(706) 255-4459
Mailing address
1525 LOWELL BLVD, DENVER, CO 80204-1543
(706) 255-4459
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0012508
CO
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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