Provider Demographics
NPI:1841592854
Name:HARTFORD, LORY (PT)
Entity Type:Individual
Prefix:
First Name:LORY
Middle Name:
Last Name:HARTFORD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2638
Mailing Address - Country:US
Mailing Address - Phone:303-781-2181
Mailing Address - Fax:866-385-2921
Practice Address - Street 1:300 E HAMPDEN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2638
Practice Address - Country:US
Practice Address - Phone:303-781-2181
Practice Address - Fax:866-385-2921
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7086225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist