AUSTIN MICHAEL LAKE

GREELEY, CO
NPI1003305319
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  14911)
Enumeration Date2018-05-02
Last Update Date2020-03-04
Business Address
Dr. AUSTIN MICHAEL LAKE PT, DPT
4681 W 20TH ST UNIT 202B
GREELEY, CO 80634
Phone number: 720-331-3687
Mailing Address
Dr. AUSTIN MICHAEL LAKE PT, DPT
2212 34TH AVE
GREELEY, CO 80634-7547
Phone number: 720-331-3687
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