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Individual

MS. CARRIE DIFLUMERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
7027 SKUNK ALY, EVERGREEN, CO 80439-6833
(303) 518-0439
Mailing address
7027 SKUNK ALY, EVERGREEN, CO 80439-6833
(303) 518-0439

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6799
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6799
STATE OF COLORADO, DEPT OF REGULATORY AGENCIES, P.T LICENSE
CO
Enumeration date
07/11/2016
Last updated
07/11/2016
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