Individual
CAROL WHITTENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2800 YOUNGFIELD ST, LAKEWOOD, CO 80215-7210
(303) 233-4343
Mailing address
2048 S XENOPHON ST, LAKEWOOD, CO 80228-4357
(720) 981-1502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0004782
CO
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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