Individual
BROOKE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3000 CENTER GREEN DR, BOULDER, CO 80301-2364
(303) 413-9903
Mailing address
25200 VILLAGE CIR, GOLDEN, CO 80401-7221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013348
CO
Other
Enumeration date
04/05/2016
Last updated
01/16/2017
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