Healthcare Provider Details

I. General information

NPI: 1770150922
Provider Name (Legal Business Name): CLAIRE GIROUD ZWAAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10475 SHERIDAN BLVD
WESTMINSTER CO
80020-4135
US

IV. Provider business mailing address

3545 28TH ST APT 303
BOULDER CO
80301-1576
US

V. Phone/Fax

Practice location:
  • Phone: 303-409-2133
  • Fax:
Mailing address:
  • Phone: 719-207-1448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPTL.0017424
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: