Individual
DR. ABIGAIL HELSTROM DEMIJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
23830 COUNTY ROAD 48, LA SALLE, CO 80645-8612
(970) 451-1234
Mailing address
3241 W 15TH ST, DAVENPORT, IA 52804-3215
(847) 754-8201
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTL.0018731
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL.0018731
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
10/19/2022
Last updated
10/19/2022
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