Individual
JENNIFER CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2935 BASELINE RD, STE 301, BOULDER, CO 80303-2366
(303) 941-1768
Mailing address
1590 EISENHOWER DR, APT #103, BOULDER, CO 80303-8124
(760) 420-6495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
37320
CA
225100000X
Physical Therapist
PT 60535854
WA
225100000X
Physical Therapist
Primary
PTL.0014515
CO
Other
Enumeration date
11/30/2010
Last updated
02/15/2017
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