Organization
KID'S PLAY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI J DEJAGER MSPT (OWNER, PHYSICAL THERAPIST)
(720) 933-4284
Entity
Organization
Contact information
Practice address
16216 SEQUOIA DR, PARKER, CO 80134-3549
(720) 933-4284
Mailing address
16216 SEQUOIA DR, PARKER, CO 80134-3549
(720) 933-4284
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
7907
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000156544
—
CO
Enumeration date
12/11/2017
Last updated
01/25/2018
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