Organization
INNOVATIVE PHYSICAL THERAPY LLC
Active
Other names
Avanti Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE V EDELMAN PT (PT/OWNER)
(303) 543-1201
Entity
Organization
Contact information
Practice address
5350 MANHATTAN CIR STE 100, BOULDER, CO 80303-4272
(303) 543-1201
(303) 543-1206
Mailing address
5350 MANHATTAN CIR STE 100, BOULDER, CO 80303-4272
(303) 543-1201
(303) 543-1206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4686
CO
Other
Enumeration date
10/15/2008
Last updated
02/06/2009
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