Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 2305204407 | VA |
Y | 2251H1200X | Hand | 45745 | CO |
NPI | 1174586077 |
---|---|
Provider Name | Mrs. Deann L German |
First Address | Golden, CO 80401-9541 |
Second Address | Golden, CO 80401-9541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010198518 | (05) | VA |
192939 | BCBS PHYSICAL THERAPY (01) | VA |
39388867 | (05) | CO |
4575 | COLORADO PT LICENSE NUMBER (01) | CO |
7575324 | AETNA (01) | |
P00396601 | MEDICARE RAILROAD (01) | VA |