Provider Demographics
NPI:1578855623
Name:POGORELZ, AMY LEIGH (BS, PTA)
Entity Type:Individual
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First Name:AMY
Middle Name:LEIGH
Last Name:POGORELZ
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Gender:F
Credentials:BS, PTA
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Mailing Address - Street 1:5300 W 29TH ST
Mailing Address - Street 2:#14
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8399
Mailing Address - Country:US
Mailing Address - Phone:970-330-5646
Mailing Address - Fax:970-330-5646
Practice Address - Street 1:5300 W 29TH ST
Practice Address - Street 2:#14
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8399
Practice Address - Country:US
Practice Address - Phone:970-330-5646
Practice Address - Fax:970-330-5646
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant