Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 3652 | CO |
NPI | 1003145756 |
---|---|
Provider Name | Donna Giles |
First Address | Denver, CO 80203-3394 |
Second Address | Denver, CO 80203-3394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2009 |
Last Update Date | 09/12/2009 |