RUSSELL OVERY

BOULDER, CO
NPI1407027907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251S0007X Physical Therapist, Sports
(Licence: CO  8604)
Enumeration Date2008-03-12
Last Update Date2008-03-12
Business Address
-- RUSSELL OVERY DPT
311 MAPLETON AVE
BOULDER, CO 80304-3979
Phone number: 303-544-5700
Mailing Address
-- RUSSELL OVERY DPT
311 MAPLETON AVE
BOULDER, CO 80304-3979
Phone number: 303-544-5700