Bouldercentre for Orthopedics

NPI #1952427049 in Boulder, Colorado

Provider Information

NPI Number: 1952427049
Entity Type: Organization
Organization Name: Bouldercentre for Orthopedics
Primary Specialty: Physical Therapist
Enumeration Date: Mar 21, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 4740 PEARL PKWY STE 200
City: Boulder
State: Colorado
ZIP Code: 80301-3080
Phone: (303) 449-2730

Authorized Official

Name: LYNN M ICKES
Title: BILLING MANAGER
Phone: (303) 449-2730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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