Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1484 | IL |
NPI | 1699859363 |
---|---|
Provider Name | Mrs. Gail L Ausbun |
First Address | Denver, CO 80224-1208 |
Second Address | Denver, CO 80224-1208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |