Individual
JEANNE A. HERGENROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2050 S MAIN ST, DELTA, CO 81416-2407
(970) 874-9773
Mailing address
PO BOX 1352, PAGOSA SPRINGS, CO 81147-1352
(970) 731-7474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5647
CO
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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