Individual
SARA JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6060 E ILIFF AVE, DENVER, CO 80222-5721
(303) 759-4221
Mailing address
16455 E RADCLIFF PL APT A, AURORA, CO 80015-7096
(720) 624-9462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12204
CO
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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