Individual
GAVYN EUGENE PRSHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4740 PEARL PKWY STE 200, BOULDER, CO 80301-3080
(303) 449-2730
Mailing address
4740 PEARL PKWY STE 200, BOULDER, CO 80301-3080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0019634
CO
2251X0800X
Orthopedic Physical Therapist
2021024889
MO
Other
Enumeration date
08/19/2021
Last updated
03/07/2025
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