Individual
DOROTHY L TARVESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
125 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2546
(303) 788-9200
(303) 788-9265
Mailing address
720 S COLORADO BLVD, SUITE 220, GLENDALE, CO 80246-1904
(303) 584-8231
(303) 584-8141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2427
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066615
MEDICARE GROUP NUMBER
CO
Enumeration date
04/13/2007
Last updated
03/07/2008
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