Individual
MRS. JANICE K GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
461 N ANNABELLE CT, FRUITA, CO 81521-2096
(970) 261-1231
Mailing address
461 N ANNABELLE CT, FRUITA, CO 81521-2096
(970) 261-1231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
974
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840999425
TAX ID
CO
01
—
840999425008
RMHMO
CO
01
—
P00200035
MEDICARE RAILROAD
CO
Enumeration date
06/22/2006
Last updated
10/16/2019
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