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Individual

JUDITH WHALEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5215 BEAR PAW DR, CASTLE ROCK, CO 80109-8612
(217) 972-1202
Mailing address
5215 BEAR PAW DR, CASTLE ROCK, CO 80109-8612
(217) 972-1202

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013118
CO

Other

Enumeration date
01/06/2014
Last updated
01/23/2014
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