Individual
DENISE WANG ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 CLUBHOUSE DR STE 102, GREELEY, CO 80634-3651
(970) 506-4066
(970) 506-0410
Mailing address
2015 CLUBHOUSE DR STE 102, GREELEY, CO 80634-3651
(970) 506-4066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015280
CO
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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