Individual
JENNIFER HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
515 FAIRVIEW AVE, CANON CITY, CO 81212-2863
(719) 275-0665
Mailing address
515 FAIRVIEW AVE, CANON CITY, CO 81212-2863
(719) 275-0665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0009572
CO
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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