Provider Demographics
NPI:1487183042
Name:BOLEMAN, FALICITY M (PT, DPT)
Entity Type:Individual
Prefix:
First Name:FALICITY
Middle Name:M
Last Name:BOLEMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:FALICITY
Other - Middle Name:
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 CHAMBERS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-7130
Mailing Address - Country:US
Mailing Address - Phone:303-577-9780
Mailing Address - Fax:
Practice Address - Street 1:601 CHAMBERS RD STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-7130
Practice Address - Country:US
Practice Address - Phone:303-577-9780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39953225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist