Healthcare Provider Details

I. General information

NPI: 1265607477
Provider Name (Legal Business Name): CAROLYN B. ARMSTRONG P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SHOSHONI WY
NEDERLAND CO
80466
US

IV. Provider business mailing address

PO BOX 303
NEDERLAND CO
80466-0303
US

V. Phone/Fax

Practice location:
  • Phone: 303-619-6838
  • Fax:
Mailing address:
  • Phone: 303-619-6838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2758
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: