Organization
KAREN CHURCH PHYSICAL THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CHURCH RPT (PRESIDENT PHYSICAL THERAPIST)
(970) 945-6971
Entity
Organization
Contact information
Practice address
710 COOPER AVE STE 100, GLENWOOD SPGS, CO 81601-3446
(970) 945-6971
(970) 928-7975
Mailing address
PO BOX 0541, GLENWOOD SPGS, CO 81602-0541
(970) 945-1443
(970) 947-9410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3618
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH15793
BLUE CROSS
—
Enumeration date
12/28/2005
Last updated
03/19/2009
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