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Organization

CENTURA VENTURES, LLC

Active
Other names
CommonSpirit Physical Therapy Woodland Park, CS LANGSTAFF BROWN PT, Colorado Sport and Spine Centers, Centura Physical Therapy at Langstaff-Brown
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA CARPENTER RN (VP, AMBULATORY SERVICES)
(303) 765-6998
Entity
Organization

Contact information

Practice address
41 STATE HIGHWAY 67, WOODLAND PARK, CO 80863-5008
(719) 686-0553
(719) 687-5374
Mailing address
PO BOX 801172, KANSAS CITY, MO 64180-1172
(800) 953-0104
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073882197
OLD NPI
05
83934561
CO
Enumeration date
02/06/2020
Last updated
11/12/2024
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