Provider Demographics
NPI:1275617524
Name:LETENDRE, ROBERT JAMES JR (PT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JAMES
Last Name:LETENDRE
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3601 S PEARL ST
Mailing Address - Street 2:200
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3805
Mailing Address - Country:US
Mailing Address - Phone:303-757-1554
Mailing Address - Fax:303-757-3104
Practice Address - Street 1:3601 S PEARL ST
Practice Address - Street 2:200
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3805
Practice Address - Country:US
Practice Address - Phone:303-757-1554
Practice Address - Fax:303-757-3104
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO6517174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist