Individual
JANELLE STATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-8505
Mailing address
47098 SILVER FIR ST, PARKER, CO 80138-4487
(570) 417-2548
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTL.0010768
CO
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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