Individual
LISA MICHELLE CORKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1000 ALPINE AVE, SUITE 291, BOULDER, CO 80304-3406
(303) 444-0378
Mailing address
1000 ALPINE AVE, SUITE 291, BOULDER, CO 80304-3406
(303) 444-0378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00012173
CO
Other
Enumeration date
07/25/2013
Last updated
12/16/2015
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