Dr. Carissa Marie Wengrovius
Physical Therapist - Pediatrics
801 Main St Ste 10
Louisville
, Colorado 80027-1898
Dr. Carissa Marie Wengrovius
Physical Therapist - Pediatrics
801 Main St Ste 10
Louisville
, Colorado 80027-1898
(303) 859-9459
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Dr. Carissa Marie Wengrovius
- 9538 Castle Ridge Cir
- Highlands Ranch, CO
- Zip : 80129-5701
- Phone : (303) 859-9459
Second Address
- Dr. Carissa Marie Wengrovius
- 801 Main St Ste 10
- Louisville, CO
- Zip : 80027-1898
- Phone : (303) 604-6441
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 0012318 | CO |
National Provider Identifier
| NPI | 1093147555 |
|---|---|
| Provider Name | Dr. Carissa Marie Wengrovius |
| First Address | Highlands Ranch, CO 80129-5701 |
| Second Address | Louisville, CO 80027-1898 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2013 |
| Last Update Date | 06/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.