Individual
MAURA LEE JANE RICHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4800 W 25TH ST, GREELEY, CO 80634-3734
(907) 330-6400
Mailing address
5220 BOARDWALK DR, G-31, FORT COLLINS, CO 80525-7309
(904) 254-4000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-9582
CO
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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