Individual
KAREN RENEE HATAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3480 COLORADO AVE APT D7, BOULDER, CO 80303-1942
(303) 875-3644
Mailing address
3480 COLORADO AVE APT D7, BOULDER, CO 80303-1942
(303) 875-3644
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3088
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3088
PHYSICAL THERAPY
CO
01
—
9271
PHYSICAL THERAPY
CO
Enumeration date
05/02/2018
Last updated
06/16/2018
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