Individual
KATRINA PRUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6367 S GRAPE CT, CENTENNIAL, CO 80121-3532
(719) 214-0922
Mailing address
6367 S GRAPE CT, CENTENNIAL, CO 80121-3532
(719) 214-0922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012977
CO
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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