Individual
MR. GREGORY MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10450 PARK MEADOWS DR, 103, LONE TREE, CO 80124
(303) 754-5222
Mailing address
FILE 50469, LOS ANGELES, CA 90074-0469
(530) 778-0200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9223
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9223
PT LICENCE
CO
Enumeration date
08/03/2006
Last updated
10/23/2007
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