| Doctor Name: | STEFANUS JH VAN DUURSEN |
| NPI Number: | 1023186137 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 5012 |
| Business Practice Address: | 3900 E Mexico Ave Suite 210, Centerpoint 1 Denver, CO - 802103940 |
| Business Phone Number: | 3036913733 |
| Business Fax Number: | 3036911142 |
| Mailing Address: | P.o. Box 21150, Flatirons Practice Management BOULDER |
| State: | CO |
| Postal Code: | 803084150 |
| Phone Number: | 3035469158 |
| Fax Number: | 3035469107 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |