Organization
PEDIATRIC THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE WILLIAMS M.A., CCC-SLP (SPEECH- LANGUAGE PATHOLOGIST)
(719) 687-8727
Entity
Organization
Contact information
Practice address
302 CRESTWOOD DR, WOODLAND PARK, CO 80863-8391
(719) 687-8727
Mailing address
302 CRESTWOOD DR, WOODLAND PARK, CO 80863-8391
(719) 687-8727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01064037
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55670032
—
CO
Enumeration date
06/30/2008
Last updated
06/30/2008
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