Organization
ROARING FORK PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PETTIT DPT (OWNER)
(970) 927-9319
Entity
Organization
Contact information
Practice address
1450 E VALLEY RD, SUITE 203, BASALT, CO 81621-8352
(970) 927-9319
(970) 927-0168
Mailing address
1450 E VALLEY RD, SUITE 203, BASALT, CO 81621-8352
(970) 927-9319
(970) 927-0168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2906
CO
2251X0800X
Orthopedic Physical Therapist
Primary
2906
CO
Other
Enumeration date
03/08/2007
Last updated
03/02/2012
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