Organization
CLE PHYSICAL THERAPY, PLLC
Active
Other names
Equilibrium Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE LEE ECKENHOFF (OWNER)
(404) 593-5104
Entity
Organization
Contact information
Practice address
56 EDWARDS VILLAGE BLVD UNIT 204, EDWARDS, CO 81632-7804
(404) 593-5104
Mailing address
PO BOX 3295, AVON, CO 81620-3295
(404) 593-5104
(970) 965-0633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/06/2019
Last updated
07/16/2021
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