Individual
JANET R. DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 557-5417
(719) 557-4750
Mailing address
DEPT 1188, DENVER, CO 80291-1188
(303) 486-5504
(303) 486-5502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5263
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5263
STATE LICENSE
CO
Enumeration date
06/05/2007
Last updated
07/08/2007
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