Organization
FOOTHILLS ORTHOPEDIC & SPORT THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE PEDERSEN PT (PRACTICE MANAGER)
(970) 667-7755
Entity
Organization
Contact information
Practice address
2964 GINNALA DR, LOVELAND, CO 80538-2701
(970) 667-7755
Mailing address
2964 GINNALA DR, LOVELAND, CO 80538-2701
(970) 667-7755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15820769
—
CO
05
—
O2103354
—
CO
Enumeration date
07/25/2006
Last updated
10/08/2020
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