JILLIAN ELISEQ BARE

BOULDER, CO
NPI1275817090
Former NameJILLIAN ELISE ERICKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  11343)
Enumeration Date2011-09-29
Last Update Date2011-09-29
Business Address
-- JILLIAN ELISEQ BARE PT
311 MAPLETON AVE
BOULDER, CO 80304-3979
Phone number: 303-544-5758
Mailing Address
-- JILLIAN ELISEQ BARE PT
837 E 17TH AVE APT 3G
DENVER, CO 80218-1469
Phone number: 505-570-1278