Individual
MRS. JENNIFER A WEAVER-CROOKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
720 S COLORADO BLVD, SUITE 200-A, DEPT 914, GLENDALE, CO 80246-1912
(303) 584-8288
(866) 210-2804
Mailing address
720 S COLORADO BLVD, SUITE 200-A, DEPT 914, GLENDALE, CO 80246-1912
(303) 584-8000
(303) 584-8141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7242
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066615
MEDICARE GROUP #
CO
Enumeration date
10/13/2005
Last updated
02/11/2008
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