Organization
DOUGLAS L AVERY PT PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS L AVERY PT (OWNER)
(970) 327-0161
Entity
Organization
Contact information
Practice address
1607 GRAND AVE, NORWOOD, CO 81423
(970) 327-0161
(970) 240-8823
Mailing address
PO BOX 982, NORWOOD, CO 81423-0982
(970) 327-0161
(970) 240-8823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CO7498
CO
Other
Enumeration date
03/11/2010
Last updated
09/24/2010
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