Organization
KEN CARYL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KANNAKA DPT (OWNER)
(720) 231-1602
Entity
Organization
Contact information
Practice address
1 RED MAPLE, LITTLETON, CO 80127-3529
(720) 231-1602
Mailing address
1 RED MAPLE, LITTLETON, CO 80127-3529
(720) 231-1602
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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