Individual
JANE N VILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4740 PEARL PKWY STE 300, BOULDER, CO 80301-3080
(303) 449-2730
Mailing address
1406 W MAIN ST, RIVERTON, WY 82501-3239
(307) 463-0463
(307) 463-2010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01048400
NJ
225100000X
Physical Therapist
Primary
PT2012
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157091900
—
WY
01
—
PT2012
STATE ISSUED PHYSICAL THERAPY LICENSE
WY
Enumeration date
04/16/2007
Last updated
10/03/2023
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