Individual
AUDREY ELISE DEHARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1270 N FORD ST, GOLDEN, CO 80403-1967
(303) 271-0430
Mailing address
305 S CORONA ST, DENVER, CO 80209-2427
(402) 305-8264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10112
CO
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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