Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 14168 | CO |
NPI | 1003362112 |
---|---|
Provider Name | Dr. Christopher Trzcinski |
First Address | Basalt, CO 81621-9208 |
Second Address | Littleton, CO 80120-4484 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2016 |
Last Update Date | 04/03/2019 |