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Individual

CATHERINE MARY CHILDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1270 N FORD ST, GOLDEN, CO 80403-1967
(303) 271-0430
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22743
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01291
LICENSE #
MO
01
11604
LICENSE #
CO
01
PT22743
LICENSE #
FL
Enumeration date
08/30/2006
Last updated
02/23/2012
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