Individual
DORIS PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
575 TANTRA DR, BOULDER, CO 80305-6195
(720) 545-1575
Mailing address
611 HOYT LN, LAFAYETTE, CO 80026-8977
(413) 281-7007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013281
CO
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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