Organization
MAINSTAY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MALOUF (OWNER)
(406) 544-2307
Entity
Organization
Contact information
Practice address
1030 CENTRE AVE, STE B, FORT COLLINS, CO 80526-1849
(406) 544-2307
(970) 360-7021
Mailing address
1030 CENTRE AVE, STE B, FORT COLLINS, CO 80526-1849
(406) 544-2307
(970) 360-7021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CO
Other
Enumeration date
04/04/2016
Last updated
04/28/2016
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