Individual
JO ELLEN LIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2490 JENNER CT, COLORADO SPRINGS, CO 80919-3547
(719) 425-7771
(303) 223-0084
Mailing address
PO BOX 4757, WOODLAND PARK, CO 80866-4757
(719) 660-2675
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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