Individual
ANTHONY VIDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 STADIUM DRIVE, BOULDER, CO 80302
(303) 492-8337
Mailing address
331 CITY CENTER CIR, LAFAYETTE, CO 80026-1686
(781) 361-5978
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTL.0019363
CO
Other
Enumeration date
08/22/2023
Last updated
07/05/2024
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