Individual
LAUREN ANTONETTE SIRACUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
340 E 1ST AVE STE 307, BROOMFIELD, CO 80020-2454
(303) 466-6463
(303) 466-1250
Mailing address
340 E 1ST AVE STE 307, BROOMFIELD, CO 80020-2454
(303) 466-6463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0016989
CO
Other
Enumeration date
03/06/2018
Last updated
06/20/2020
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