Organization
INTEGRATED PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY JUNTTONEN PT (OWNER/PHYSICAL THERAPIST)
(970) 385-0644
Entity
Organization
Contact information
Practice address
1 MERCADO ST, SUITE 201, DURANGO, CO 81301-7300
(970) 385-0644
(970) 385-0620
Mailing address
1 MERCADO ST, SUITE 201, DURANGO, CO 81301-7300
(970) 385-0644
(970) 385-0620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4197
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64872831
—
CO
Enumeration date
06/20/2006
Last updated
04/03/2012
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