Decianne, Priscilla Therese

Decianne, Priscilla Therese is an sole proprietor health care provider with primary practice located at 5713 Reed St , Arvada CO 80002-2645. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Decianne, Priscilla Therese can be contacted via phone (303) 463-5864.

Contact Information

Primary practice address
5713 Reed St Arvada CO 80002-2645
Phone: (303) 463-5864
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7868 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 7868 Colorado

Profile Details

NPI number 1902006513
LBN Legal business name Decianne, Priscilla Therese
Credentials MSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2007
Last updated Jul 21st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902006513 NPPES
Colorado MEDICAID 52287041

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