Individual
JAN MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3600 MAIN AVE STE A, DURANGO, CO 81301-4082
(970) 259-7829
Mailing address
3600 MAIN AVE STE A, DURANGO, CO 81301-4082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0012348
CO
Other
Enumeration date
01/22/2014
Last updated
10/04/2016
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