Individual
MS. DAWN MICHELLE BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2360 MONTEBELLO SQUARE DR, COLORADO SPRINGS, CO 80918-6977
(719) 599-5330
Mailing address
2360 MONTEBELLO SQUARE DR, COLORADO SPRINGS, CO 80918-6977
(719) 599-5330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4523
CO
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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