Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | PTL.0005800 | CO |
NPI | 1043481542 |
---|---|
Provider Name | Catherine A Fraser |
First Address | Boulder, CO 80304-3972 |
Second Address | Boulder, CO 80304-3979 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2008 |
Last Update Date | 07/04/2015 |