MEDICARE: MR. HAROLD LEE CARMAN P.T.

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
1	225100000X	Physical Therapist	3672	CO

General Provider Information

NPI Number	:	1396787008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HAROLD LEE CARMAN P.T.

Provider Business Mailing Address
First Line	:	3600 E. ALAMEDA AVE. SUITE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80208-0001
Country	:	US
Telephone Number	:	720-941-1226
Fax Number	:	720-941-1227

Provider Business Practice Location Address
First Line	:	3600 E. ALAMEDA AVE. SUITE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80208-0001
Country	:	US
Telephone Number	:	720-941-1226
Fax Number	:	720-941-1227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	07/08/2007

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