Individual
CARLIE LORRAYNE GRANDBOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9330 S UNIVERSITY BLVD, #140, HIGHLANDS RANCH, CO 80126-5065
(303) 471-4506
Mailing address
9330 S UNIVERSITY BLVD, #140, HIGHLANDS RANCH, CO 80126-5065
(303) 471-4506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0014028
CO
Other
Enumeration date
05/27/2016
Last updated
10/28/2016
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