Organization
CHILDREN'S PHYSIOTHERAPY ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL BURDITT FOOTER PT, PHD (PHYSICAL THERAPIST)
(303) 670-1170
Entity
Organization
Contact information
Practice address
29023 UPPER BEAR CREEK ROAD, EVERGREEN, CO 80439
(303) 670-1170
Mailing address
29023 UPPER BEAR CREEK ROAD, EVERGREEN, CO 80439
(303) 670-1170
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTL-7730
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04483588
—
CO
Enumeration date
05/03/2007
Last updated
06/20/2008
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