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1053917278
OWEN MACKENZIE ROLL
THORNTON, CO
NPI
1053917278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014924)
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
OWEN MACKENZIE ROLL PTA
12080 BELLAIRE WAY
THORNTON, CO 80241-3600
Phone number: 303-450-2700
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Mailing Address
OWEN MACKENZIE ROLL PTA
515 S 42ND ST
BOULDER, CO 80305-5906
Phone number: 443-876-2613
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