Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PTL.0016145 | CO |
Y | 2251S0007X | Physical Therapist - Sports | PTL.0016145 | CO |
NPI | 1548732597 |
---|---|
Provider Name | Dr. Anthunee Miguel Galvan |
First Address | Loveland, CO 80538-9071 |
Second Address | Englewood, CO 80112-5066 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2018 |
Last Update Date | 17/01/2020 |