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1790411569
REVITALIZE ATHLETICS, PLLC
LAKEWOOD, CO
NPI
1790411569
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Entity Type
Organization
Authorized Contact
TARA LOVELAND
Physical Therapist/Owner
626-512-5559
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
REVITALIZE ATHLETICS, PLLC
9643 W 14TH AVE
LAKEWOOD, CO 80215-4755
Phone number: 626-512-5559
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Mailing Address
REVITALIZE ATHLETICS, PLLC
9643 W 14TH AVE
LAKEWOOD, CO 80215-4755
Phone number: 626-512-5559
Copy
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