Individual
GREGORY CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
999 18TH ST STE 203, DENVER, CO 80202-2442
(303) 296-9609
Mailing address
1843 S ELM ST, DENVER, CO 80222-4439
(303) 349-0249
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8030
LICENSE #
CO
Enumeration date
08/30/2006
Last updated
07/08/2007
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