Provider Demographics
NPI:1275037053
Name:LEAPS & BOUNDS PEDIATRIC PT LLC
Entity Type:Organization
Organization Name:LEAPS & BOUNDS PEDIATRIC PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSWANG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-898-2732
Mailing Address - Street 1:10387 E FAIR PL
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5418
Mailing Address - Country:US
Mailing Address - Phone:303-898-2732
Mailing Address - Fax:
Practice Address - Street 1:10387 E FAIR PL
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-5418
Practice Address - Country:US
Practice Address - Phone:303-898-2732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty