Individual provider · Type 1 NPI
Steven Thomas Degennaro, MPT
Pediatric Physical Therapist · Boulder, CO
Practice location
311 Mapleton Ave
Boulder, CO 80304-3979
Mailing address
1878 Fourmile Canyon Dr
Boulder, CO 80302-8787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 9374 (CO) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1740497288
Steven Thomas Degennaro, MPT's National Provider Identifier is 1740497288, issued on May 16, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.