Individual
NICOLE VICTORIA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 LOWELL BLVD, DENVER, CO 80204-1545
(720) 508-7314
Mailing address
1601 LOWELL BLVD, DENVER, CO 80204-1545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013769
CO
Other
Enumeration date
11/05/2016
Last updated
11/05/2016
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