Individual
ALAN M MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1385 S COLORADO BLVD # A-620, DENVER, CO 80222-3304
(303) 691-3733
(303) 680-8627
Mailing address
1385 S COLORADO BLVD # A-620, DENVER, CO 80222-3304
(303) 691-3733
(303) 691-1142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015953
IL
225100000X
Physical Therapist
Primary
PTL.0012141
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL.0012141
PHYSICAL THERAPY LICENSE
CO
Enumeration date
09/04/2007
Last updated
07/25/2018
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