Individual
GUILLAUME FOUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4740 PEARL PKWY STE 200, BOULDER, CO 80301-3080
(303) 449-2730
Mailing address
DEPT. 1244, DENVER, CO 80291-1244
(303) 486-5504
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4574
CO
Other
Enumeration date
03/20/2007
Last updated
10/03/2023
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