Doctor Name: | MR. MICHAEL PAUL DOVICO |
NPI Number: | 1023332186 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T, D.P.T., A.T.C. |
License Number: | 8656 |
Business Practice Address: | 14000 E Arapahoe Rd E370 Centennial, CO - 801124043 |
Business Phone Number: | 7207544710 |
Business Fax Number: | 3036993112 |
Mailing Address: | 4900 S Monaco St, #210 DENVER |
State: | CO |
Postal Code: | 802373486 |
Phone Number: | 7207544710 |
Fax Number: | 3036993112 |
NPI Enumeration Date: | 03/18/2010 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 8656 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |