Harrison, Mitzi L

Harrison, Mitzi L is an individual health care provider with primary practice located at 1800 30Th St Ste 206 , Boulder CO 80301-1026. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Harrison, Mitzi L can be contacted via phone (720) 845-0001.

Contact Information

Primary practice address
1800 30Th St Ste 206 Boulder CO 80301-1026
Phone: (720) 845-0001
Fax: (720) 204-1748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 13219 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13219 Colorado

Profile Details

NPI number 1790772630
LBN Legal business name Harrison, Mitzi L
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Dec 3rd, 2018 - about 6 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 1790772630 NPPES
California Other PT15363 PHYSICAL THERAPY LICENSE

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