Organization
ROCKY MOUNTAIN PROVIDER NETWORK, LLC
Active
Other names
Potomac Physical Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KLEIN (VP OF OPERATIONS)
(303) 341-4730
Entity
Organization
Contact information
Practice address
13650 EAST MISSISSIPPI AVE, SUITE 100B, AURORA, CO 80012
(303) 872-1980
(720) 343-1260
Mailing address
10700 EAST GEDDES AVE, SUITE 100, ENGLEWOOD, CO 80112
(303) 341-4730
(720) 545-9137
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3393
CO
103T00000X
Psychologist
Primary
—
CO
225100000X
Physical Therapist
1162
CO
225100000X
Physical Therapist
—
CO
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/08/2008
Last updated
12/29/2015
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