Individual
DR. VINCENT PAUL CARMELLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, MTC
Contact information
Practice address
489 N US HIGHWAY 287 STE 190, LAFAYETTE, CO 80026-8905
(303) 665-2405
(306) 648-6602
Mailing address
25 CODY ST, LAKEWOOD, CO 80226-1240
(303) 665-2405
(303) 648-6602
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
9061
CO
2251H1200X
Hand Physical Therapist
9061
CO
2251N0400X
Neurology Physical Therapist
9061
CO
2251S0007X
Sports Physical Therapist
9061
CO
2251X0800X
Orthopedic Physical Therapist
Primary
9061
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23770074
—
CO
01
—
9061
PHYSICAL THERAPIST
CO
Enumeration date
05/20/2006
Last updated
02/16/2021
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