Organization
KIDS ON THE GO LLC
Active
Other names
Alexandra Van Damme
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ALEXANDRA E VAN DAMME PT (PT)
(720) 352-0443
Entity
Organization
Contact information
Practice address
19121 E. CRESTRIDGE CIRCLE, AURORA, CO 80015
(720) 352-0443
(720) 870-5642
Mailing address
19121 E. CRESTRIDGE CIRCLE, AURORA, CO 80015
(720) 352-0443
(720) 870-5642
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
6876
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11172533
—
CO
Enumeration date
02/23/2006
Last updated
07/01/2010
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