Individual
JACQUELINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1000 W SOUTH BOULDER RD, LAFAYETTE, CO 80026-2752
(303) 415-4400
Mailing address
1851 BASSETT ST APT 415, DENVER, CO 80202-1024
(847) 404-8067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0017804
CO
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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