Individual
JESSICA P. KHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7375 E ORCHARD RD STE 200, GREENWOOD VILLAGE, CO 80111-2510
(303) 773-0771
Mailing address
7375 E ORCHARD RD STE 200, GREENWOOD VILLAGE, CO 80111-2510
(303) 773-0771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15640
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326339722
NPI
—
01
—
272955524
IRS
—
Enumeration date
06/18/2018
Last updated
06/18/2018
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