Organization
PURPOSE MEDICAL PROFESSIONAL CORPORATION
Active
Other names
Body In Balance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK OLDERMAN MSPT, CPT (PRESIDENT)
(303) 477-5303
Entity
Organization
Contact information
Practice address
2828 W 44TH AVE, DENVER, CO 80211-1429
(303) 477-5303
(303) 477-5302
Mailing address
2828 W 44TH AVE, DENVER, CO 80211-1429
(303) 477-5303
(303) 477-5302
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5852
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72435313
—
CO
Enumeration date
10/10/2006
Last updated
07/29/2020
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