Healthcare Provider Details
I. General information
NPI: 1215983309
Provider Name (Legal Business Name): PATRICIA C LAWLOR MS, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/26/2006
Last Update Date: 11/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4700 HALE PKWY STE 550
DENVER CO
80220-4053
US
IV. Provider business mailing address
4700 HALE PKWY STE 550
DENVER CO
80220-4053
US
V. Phone/Fax
- Phone: 303-321-6600
- Fax: 303-321-8814
- Phone: 303-321-6600
- Fax: 303-321-8814
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 009937 |
| License Number State | CT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | 026539 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PTL.0014540 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: