Individual
BEATRIZ ALEJANDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2350 LIMON DR, FORT COLLINS, CO 80525-7622
(970) 204-4331
Mailing address
1515 CIRQUE VALLEY LN, SEVERANCE, CO 80550-3280
(956) 451-8671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0015115
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427573559
—
CO
05
—
9000159982
—
CO
Enumeration date
08/09/2017
Last updated
04/22/2019
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