Individual
LISA RAE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
101 W 11TH ST STE 107, DURANGO, CO 81301-5108
(970) 749-4395
Mailing address
539 ELK HORN MOUNTAIN RD, DURANGO, CO 81301-3765
(970) 749-4395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0008879
CO
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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