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Individual

CAITLIN FOVENYESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
151 W MINERAL AVE STE 116A, LITTLETON, CO 80120-4510
(303) 798-5602
Mailing address
1220 PALM AVE, REDWOOD CITY, CA 94061-2730
(650) 339-1312

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
302831
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTL.0019211
CO
225100000X
Physical Therapist
CO
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1982326518
PHYSICAL MEDICINE
CO
01
302831
PHYSICAL THERAPY CA LICENSE
CA
Enumeration date
09/12/2022
Last updated
03/16/2026
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