Individual
MRS. MARY PEZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2706 28TH ST, BOULDER, CO 80301-1222
(303) 444-1290
(303) 444-1837
Mailing address
2706 28TH ST, BOULDER, CO 80301-1222
(303) 444-1290
(303) 444-1837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19904
CO
225100000X
Physical Therapist
CP027484T
CO
Other
Enumeration date
04/24/2024
Last updated
10/25/2024
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