Individual
FORAM VINAYKUMAR DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9436 DESERT WILLOW WAY, HIGHLANDS RANCH, CO 80129-5744
(317) 900-6806
Mailing address
9436 DESERT WILLOW WAY, HIGHLANDS RANCH, CO 80129-5744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0015648
CO
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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