Provider First Line Business Practice Location Address:
713 PEARL ST.
Provider Second Line Business Practice Location Address:
BODY WISE PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
BOULDER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-444-2526
Provider Business Practice Location Address Fax Number:
307-733-5505
Provider Enumeration Date:
08/10/2011