Individual
BRETT BOUSQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
181 W MEADOW DR, HOWARD HEAD SPORTS MEDICINE, VAIL, CO 81657-5242
(970) 470-6653
Mailing address
145 N FRONTAGE RD W, UNIT C 309, VAIL, CO 81657-4573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0013318
CO
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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