Individual
LORI BETH GULMANTOVICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
70 BROADWAY STE 200, DENVER, CO 80203-5916
(303) 350-7990
Mailing address
11590 KINGSTON ST, HENDERSON, CO 80640-7689
(303) 288-4016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
587
CO
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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