Organization
11-11 PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ANNE COOPER PT (OWNER)
(303) 471-6212
Entity
Organization
Contact information
Practice address
6851 S HOLLY CIR STE 100, CENTENNIAL, CO 80112-1040
(303) 771-3745
(303) 771-3728
Mailing address
6851 S HOLLY CIR STE 100, CENTENNIAL, CO 80112-1040
(303) 771-3745
(303) 771-3728
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
11/07/2018
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