Individual
LAURA WHITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12107 IDALIA ST, BRIGHTON, CO 80603-6948
(303) 883-6469
Mailing address
12107 IDALIA ST, BRIGHTON, CO 80603-6948
(303) 883-6469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0007192
CO
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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