Organization
ALTA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY CLARK (OFFICE MANAGER)
(303) 444-8707
Entity
Organization
Contact information
Practice address
2955 BASELINE RD, BOULDER, CO 80303-2356
(303) 444-8707
(303) 444-8109
Mailing address
2955 BASELINE RD, BOULDER, CO 80303-2356
(303) 444-8707
(303) 444-8109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
261QP2000X
CO
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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