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1194190603
CARRIE UDY
FORT COLLINS, CO
NPI
1194190603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0013713)
Enumeration Date
2015-12-09
Last Update Date
2021-01-15
Business Address
CARRIE UDY PTA
1005 E ELIZABETH ST
FORT COLLINS, CO 80524-3911
Phone number: 970-482-5454
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Mailing Address
CARRIE UDY PTA
PO BOX 212
SEVERANCE, CO 80546-0212
Phone number: 970-302-0552
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