NPI | 1275047144 |
---|---|
Doing Business As | HEATHER LANE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | PATRICK H DONOVAN Owner/Physical Therapist 720-507-3962 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0013308) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0013308) | |
Enumeration Date | 2017-11-29 |
Last Update Date | 2020-11-05 |