Individual
MR. STEVEN THOMAS DEGENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
311 MAPLETON AVE, BOULDER, CO 80304-3979
(303) 441-0526
Mailing address
1878 FOURMILE CANYON DR, BOULDER, CO 80302-8787
(516) 384-8913
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
9374
CO
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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