Individual
MARY GRACE COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9481 W 89TH CIR, WESTMINSTER, CO 80021-4425
(303) 422-2208
Mailing address
9481 W 89TH CIR, WESTMINSTER, CO 80021-4425
(303) 422-2208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0012665
CO
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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