Edith E Decraene, PT

NPI #1902991920 in Evergreen, Colorado

Provider Information

NPI Number: 1902991920
Entity Type: Individual
Name: Edith E Decraene, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 4, 2006
Last Updated: Oct 23, 2007

Practice Location

Address: 2942 EVERGREEN PKWY
Address 2: STE 100
City: Evergreen
State: Colorado
ZIP Code: 80439-7909
Phone: (303) 670-4802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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