Gina Jelacic

NPI #1790794220 in Vail, Colorado

Provider Information

NPI Number: 1790794220
Entity Type: Individual
Name: Gina Jelacic
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 5, 2006
Last Updated: Jun 28, 2020

Practice Location

Address: 5177 BLACK GORE DR
Address 2: UNIT B1
City: Vail
State: Colorado
ZIP Code: 81657-5273
Phone: (970) 688-1433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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