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Organization

MULLIKIN PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNETTE M MULLIKIN PT (PT)
(970) 533-7649
Entity
Organization

Contact information

Practice address
121 RAILROAD AVE, MANCOS, CO 81328-9059
(970) 533-7649
(970) 533-9089
Mailing address
121 RAILROAD AVE, MANCOS, CO 81328-9059
(970) 533-7649
(970) 533-9089

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1930
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55571034
CO
Enumeration date
09/11/2009
Last updated
09/11/2009
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