Individual
STEPHANIE CAROLE PASCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5387 MANHATTAN CIR, SUITE 100, BOULDER, CO 80303-4284
(303) 543-7676
Mailing address
4640 KASHMIRE DR, COLORADO SPRINGS, CO 80920-7614
(719) 321-9837
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10392
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10392
STATE OF COLORADO
CO
01
—
11055-27
PHYSICAL THERAPIST
WI
Enumeration date
07/03/2008
Last updated
03/08/2011
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