Individual
JAN L MINIFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-4949
Mailing address
777 BANNOCK ST, MC7782, DENVER, CO 80204-4507
(720) 956-2394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4516
CO
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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