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NPI Code Detail

MEDICARE: SUNLIGHT PHYSICAL THERAPY SERVICES

MEDICARE: SUNLIGHT PHYSICAL THERAPY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist7461CO

General Provider Information

NPI Number : 1437271814
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNLIGHT PHYSICAL THERAPY SERVICES
Provider Business Mailing Address
First Line : PO BOX 2826
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81602-2826
Country : US
Telephone Number : 970-309-1992
Fax Number :
Provider Business Practice Location Address
First Line : 2600 S OAK HURST CT APT 4
Second Line : #4
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4459
Country : US
Telephone Number : 970-309-1992
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MRS. JUSTYNA LUKASZCZYK
Credential : PT
Telephone Number : 970-309-1992
Provider Enumeration Date : 04/04/2007
Last Update Date : 08/22/2007

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Directions to “SUNLIGHT PHYSICAL THERAPY SERVICES ” Practice Location

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