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Individual

CHAD EVAN HEARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
4686 E ASBURY CIR, DENVER, CO 80222-4723
(303) 300-8865
Mailing address
8380 W 63RD AVE, ARVADA, CO 80004-3418
(719) 459-5467

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012929
CO

Other

Enumeration date
09/05/2012
Last updated
09/03/2013
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