VAN PAVLIK

BROOMFIELD, CO
NPI1477950855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  PTL.0012563)
Enumeration Date2014-12-01
Last Update Date2014-12-01
Business Address
VAN PAVLIK PT
16551 WESTON WAY
BROOMFIELD, CO 80023-4660
Phone number: 713-435-9548
Mailing Address
VAN PAVLIK PT
16551 WESTON WAY
BROOMFIELD, CO 80023-4660
Phone number: 713-435-9548
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