Organization
DEVELOPMENTAL PHYSICAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE STEIN KRALJ (PHYSICAL THERAPIST)
(612) 203-1045
Entity
Organization
Contact information
Practice address
600 SPRUCE CIR, LOUISVILLE, CO 80027-2707
(612) 203-1045
Mailing address
600 SPRUCE CIR, LOUISVILLE, CO 80027-2707
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
PTL.0012773
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65220277
—
CO
Enumeration date
09/01/2015
Last updated
09/01/2015
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