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Individual

AUDREY LEIGH SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
5825 DELMONICO DR STE 300, COLORADO SPGS, CO 80919-2244
(719) 577-4104
(719) 575-0872
Mailing address
PO BOX 96217, PHOENIX, AZ 85072-6217
(678) 837-7176
(404) 777-1311

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0015086
CO

Other

Enumeration date
08/12/2017
Last updated
03/09/2026
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