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Individual

LUCAS JARDIN GLOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, OCS

Contact information

Practice address
3916 WADSWORTH BLVD, WHEAT RIDGE, CO 80033-4615
(720) 805-2303
(720) 573-6704
Mailing address
3916 WADSWORTH BLVD, WHEAT RIDGE, CO 80033-4615
(720) 805-2303
(720) 573-6704

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16969
CO
2251X0800X
Orthopedic Physical Therapist
Primary
16969
CO

Other

Enumeration date
06/08/2020
Last updated
02/28/2024
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