Provider Demographics
NPI:1982980496
Name:FALK, DEBRAH L (MPT)
Entity type:Individual
Prefix:
First Name:DEBRAH
Middle Name:L
Last Name:FALK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8670 WOLFF CT
Mailing Address - Street 2:BUILDING 8 SUITE 115
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6956
Mailing Address - Country:US
Mailing Address - Phone:303-650-1700
Mailing Address - Fax:
Practice Address - Street 1:8670 WOLFF CT
Practice Address - Street 2:BUILDING 8 SUITE 115
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6956
Practice Address - Country:US
Practice Address - Phone:303-650-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6703225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist