Owen Mackenzie Roll, PTA

NPI #1053917278 in Thornton, Colorado

Provider Information

NPI Number: 1053917278
Entity Type: Individual
Name: Owen Mackenzie Roll, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 11, 2020
Last Updated: Dec 11, 2020

Practice Location

Address: 12080 BELLAIRE WAY
City: Thornton
State: Colorado
ZIP Code: 80241-3600
Phone: (303) 450-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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