Individual
TARA RAE VANCLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 SOUTH BROADWAY CIRCLE, BUILDING 6 APPT 306, ENGLEWOOD, CO 80113
(303) 886-8198
Mailing address
5310 S BROADWAY CIR APT 6-306, ENGLEWOOD, CO 80113-6851
(303) 886-8198
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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