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1902564990
TRISTA WENDY LICK
GREENWOOD VILLAGE, CO
NPI
1902564990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015075)
Enumeration Date
2021-12-07
Last Update Date
2021-12-07
Business Address
TRISTA WENDY LICK
7350 E PROGRESS PL STE 201
GREENWOOD VILLAGE, CO 80111-2135
Phone number: 720-772-7622
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Mailing Address
TRISTA WENDY LICK
5437 S KING ST
LITTLETON, CO 80123-2910
Phone number: 303-495-0878
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