Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | PTL.0016798 | CO |
NPI | 1508497876 |
---|---|
Provider Name | Dr. Caitlin Marie Alexander |
First Address | Boulder, CO 80305-6128 |
Second Address | Louisville, CO 80027-1893 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2020 |
Last Update Date | 27/01/2020 |