Individual
ANNALEISE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9116 W BOWLES AVE STE 10, LITTLETON, CO 80123-3477
(303) 978-9200
Mailing address
11241 W UTAH PL, LAKEWOOD, CO 80232-6153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0017434
CO
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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