Individual
MRS. CHANTAL W.H RALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CARSON AVE, LA JUNTA, CO 81050-2751
(719) 383-6000
Mailing address
96 SUGARLOAF DR, PAGOSA SPRINGS, CO 81147-8982
(970) 731-6677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7308
CO
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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