Individual
KELLI WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12093 EUDORA CT, THORNTON, CO 80241-3229
(303) 249-9934
Mailing address
12093 EUDORA CT, THORNTON, CO 80241-3229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-12446
CO
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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