Individual
DANE NICHOLAS DELOZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
311 MAPLETON AVE, BOULDER, CO 80304-3979
(303) 544-5700
(303) 938-3174
Mailing address
345 MAXWELL AVE, BOULDER, CO 80304-3972
(303) 544-5783
(303) 441-2388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11688
CO
2251S0007X
Sports Physical Therapist
1081
CO
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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