Individual
SANDRA DALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
4686 E ASBURY CIR, DENVER, CO 80222-4723
(303) 300-8865
Mailing address
4686 E ASBURY CIR, DENVER, CO 80222-4723
(303) 300-8865
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012953
CO
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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