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Individual

JOHN ROBERT HEDSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
2198 LAGER ST, FORT COLLINS, CO 80524
(612) 237-5760
Mailing address
2198 LAGER ST, FORT COLLINS, CO 80524-3957
(612) 237-5760

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1731
WY
225100000X
Physical Therapist
42883
CA
225100000X
Physical Therapist
Primary
PTL0014683
CO

Other

Enumeration date
10/06/2015
Last updated
10/17/2019
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