Organization
REVO PHYSIOTHERAPY AND SPORTS PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANE N DELOZIER PT, DPT, ATC, PES (CEO)
(412) 848-8278
Entity
Organization
Contact information
Practice address
1855 29TH ST, #1168, BOULDER, CO 80301-1065
(412) 848-8278
Mailing address
1855 29TH ST, #1168, BOULDER, CO 80301-1065
(412) 848-8278
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTL.0011688
CO
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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