Individual
ERIN TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3000 CENTER GREEN DR STE 110, BOULDER, CO 80301-2364
(303) 413-9903
(303) 413-9907
Mailing address
295 BROKEN FENCE RD, BOULDER, CO 80302-9607
(303) 601-6666
(303) 447-3390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013356
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013356
PTA LICENSE
CO
Enumeration date
10/03/2014
Last updated
10/03/2014
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