Organization
CAROL THIELE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL THIELE P.T. (PHYSICAL THERAPIST)
(303) 673-0778
Entity
Organization
Contact information
Practice address
300 SUMMIT BLVD, BROOMFIELD, CO 80021-8247
(303) 729-2567
Mailing address
516 LINCOLN AVE, LOUISVILLE, CO 80027-1920
(303) 673-0778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1914
CO
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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