Provider Demographics
NPI:1396813804
Name:PRINS, ALDO (PT)
Entity Type:Individual
Prefix:
First Name:ALDO
Middle Name:
Last Name:PRINS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:HARM HARALD
Other - Middle Name:ALDO
Other - Last Name:PRINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:3801 E FLORIDA AVE
Mailing Address - Street 2:STE 330
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2546
Mailing Address - Country:US
Mailing Address - Phone:303-370-2670
Mailing Address - Fax:303-370-2696
Practice Address - Street 1:3801 E FLORIDA AVE
Practice Address - Street 2:STE 330
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2546
Practice Address - Country:US
Practice Address - Phone:303-370-2670
Practice Address - Fax:303-370-2696
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6231225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist