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Individual

CHARLA MAE NETTLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1221 N MILDRED RD, CORTEZ, CO 81321-2218
(970) 564-2600
Mailing address
11521 ROAD G, CORTEZ, CO 81321-9569
(970) 564-9457
(970) 564-9457

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2566
NM
225100000X
Physical Therapist
6242
AZ
225100000X
Physical Therapist
6279685-2401
UT
225100000X
Physical Therapist
Primary
6820
CO

Other

Enumeration date
07/02/2007
Last updated
07/08/2007
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