Organization
PRO PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN TSCHOEPE PT, PHD (PRESIDENT)
(303) 499-6818
Entity
Organization
Contact information
Practice address
4800 BASELINE RD, SUITE D 107, BOULDER, CO 80303-2699
(303) 499-6818
(303) 499-0853
Mailing address
4800 BASELINE RD, SUITE D 107, BOULDER, CO 80303-2699
(303) 499-6818
(303) 499-0853
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96226838
—
CO
01
—
C810645
MEDICARE PIN
CO
Enumeration date
05/01/2007
Last updated
04/16/2008
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