Individual
DAVID JAMES VANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
802 19TH ST, BOULDER, CO 80302-7612
(440) 463-9267
Mailing address
2100 16TH ST, UNIT 212, DENVER, CO 80202-5184
(440) 463-9267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-11337
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL-11337
LICENSE NUMBER
CO
Enumeration date
07/08/2011
Last updated
09/22/2016
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