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Individual

MRS. PETORA MANETTO SPRATT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5278 S ESPANA CIR, CENTENNIAL, CO 80015-3704
(303) 912-8318
(303) 627-4874
Mailing address
5278 S ESPANA CIR, CENTENNIAL, CO 80015-3704
(303) 912-8318
(303) 627-4874

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2318
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
62627864
CO
Enumeration date
03/09/2006
Last updated
07/09/2007
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