Provider Demographics
NPI:1740279686
Name:DUMONT, CARLENE R (PT)
Entity type:Individual
Prefix:
First Name:CARLENE
Middle Name:R
Last Name:DUMONT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-937-6112
Mailing Address - Fax:303-727-9215
Practice Address - Street 1:120 BRYANT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-2141
Practice Address - Country:US
Practice Address - Phone:303-937-6112
Practice Address - Fax:303-727-9215
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2012-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO1961225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist