OWEN MACKENZIE ROLL

THORNTON, CO
NPI1053917278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA.0014924)
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
OWEN MACKENZIE ROLL PTA
12080 BELLAIRE WAY
THORNTON, CO 80241-3600
Phone number: 303-450-2700
Mailing Address
OWEN MACKENZIE ROLL PTA
515 S 42ND ST
BOULDER, CO 80305-5906
Phone number: 443-876-2613