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1740497288
STEVEN THOMAS DEGENNARO
BOULDER, CO
NPI
1740497288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CO 9374)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Mr. STEVEN THOMAS DEGENNARO MPT
311 MAPLETON AVE
BOULDER, CO 80304-3979
Phone number: 303-441-0526
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Mailing Address
Mr. STEVEN THOMAS DEGENNARO MPT
1878 FOURMILE CANYON DR
BOULDER, CO 80302-8787
Phone number: 516-384-8913
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