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Individual

ANNIE KIM DETWEILER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
7878 WADSWORTH BLVD STE 210, ARVADA, CO 80003-2121
(303) 456-8967
Mailing address
2448 WELTON ST, DENVER, CO 80205-2908
(319) 899-6792

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0017305
CO

Other

Enumeration date
10/15/2020
Last updated
03/16/2022
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