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NPI Code Detail

MEDICARE: MRS. CAROL BURI

MEDICARE: MRS. CAROL BURI
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
1225100000XPhysical Therapist2699CO

General Provider Information

NPI Number : 1699967927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROL BURI
Provider Business Mailing Address
First Line : 186 MONARCH CT
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-1242
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1855 PLAZA DR
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2325
Country : US
Telephone Number : 303-604-6573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2007
Last Update Date : 08/10/2007

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