Healthcare Provider Details

I. General information

NPI: 1548214000
Provider Name (Legal Business Name): DENVER PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 GLENARM PL STE B100
DENVER CO
80204-2114
US

IV. Provider business mailing address

7310 S ALTON WAY STE 6L
CENTENNIAL CO
80112-2334
US

V. Phone/Fax

Practice location:
  • Phone: 303-628-0871
  • Fax: 303-628-0873
Mailing address:
  • Phone: 303-790-4495
  • Fax: 720-488-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANNE LASSON
Title or Position: VICE PRESIDENT
Credential:
Phone: 408-570-0510