Provider Demographics
NPI:1831834845
Name:ALPIINROK PHYSIATRY INC
Entity type:Organization
Organization Name:ALPIINROK PHYSIATRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARP
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-213-0692
Mailing Address - Street 1:1630 30TH ST STE A-336
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1044
Mailing Address - Country:US
Mailing Address - Phone:313-213-0692
Mailing Address - Fax:361-585-4867
Practice Address - Street 1:600 GOLDEN RIDGE RD
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-8916
Practice Address - Country:US
Practice Address - Phone:313-213-0692
Practice Address - Fax:361-585-4867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty