Individual
MARY PAVLANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
956 W CHERRY ST STE 103, LOUISVILLE, CO 80027-3047
(720) 740-7401
Mailing address
2297 DOGWOOD DR, ERIE, CO 80516-7988
(505) 400-3234
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
10616
CO
225100000X
Physical Therapist
Primary
10616
CO
Other
Enumeration date
05/22/2014
Last updated
01/29/2023
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