Individual
BRENDA NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 S MAIN ST, DELTA, CO 81416-2407
(970) 874-9773
Mailing address
245 30 1/2 RD, GRAND JUNCTION, CO 81503-9628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-3757
CO
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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