Organization
HEATHER LANE PHYSICAL THERAPY AND WELLNESS LLC
Active
Other names
Heather Lane Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK H DONOVAN PT, DPT (OWNER/PHYSICAL THERAPIST)
(720) 507-3962
Entity
Organization
Contact information
Practice address
425 S CHERRY ST STE 380, DENVER, CO 80246-1230
(708) 415-0827
Mailing address
425 S CHERRY ST STE 380, DENVER, CO 80246-1230
(708) 415-0827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0013308
CO
2251X0800X
Orthopedic Physical Therapist
PTL.0013308
CO
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/29/2017
Last updated
11/05/2020
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