Mountain Desert Therapy, Pc.

NPI #1164644795 in Northglenn, Colorado

Provider Information

NPI Number: 1164644795
Entity Type: Organization
Organization Name: Mountain Desert Therapy, Pc.
Primary Specialty: Physical Therapist
Enumeration Date: May 3, 2007
Last Updated: Apr 22, 2016

Practice Location

Address: 11450 MELODY DRIVE
Address 2: C-101
City: Northglenn
State: Colorado
ZIP Code: 80234
Phone: (303) 345-4515

Authorized Official

Name: MS. SUSAN LYNN DUGUID, PT
Title: DIRECTOR
Phone: (303) 345-4515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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