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Mr. Indra Soerja Oetomo, PT,LAC
Orthopedic Physical Therapist in Highlands Ranch, Colorado
NPI 1326005745

Indra Soerja Oetomo is a Orthopedic Physical Therapist based in Highlands Ranch, CO and is specialized in Orthopedic. Indra Soerja Oetomo practices in Highlands Ranch, CO and has the professional credentials of PT,LAC. The NPI Number for Indra Soerja Oetomo is 1326005745 and holds a License No. 978 (Colorado).

The current practice location address for Indra Soerja Oetomo is 8955 S Ridgeline Blvd, Highlands Ranch, CO and can be reached out via phone at 303-683-8338 and via fax at 303-683-8809.

Location: 8955 S Ridgeline Blvd, Highlands Ranch, CO, 80129-2362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326005745
Provider Name
Indra Soerja Oetomo
Credential
PT,LAC
Provider Entity Type
Individual
Gender
Male
Address
8955 S Ridgeline Blvd, Highlands Ranch, CO, 80129-2362
Phone Number
303-683-8338
Fax Number
303-683-8809
Provider Enumeration Date
04/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8955 S Ridgeline Blvd
City
Highlands Ranch
State
Colorado
Zip
80129-2362
Phone Number
303-683-8338
Fax Number
303-683-8809
person
Provider Business Mailing Address Details
Address
8955 S Ridgeline Blvd
City
Highlands Ranch
State
Colorado
Zip
80129-2362
Phone Number
303-683-8338
Fax Number
303-683-8809
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
171100000X
License No.
3579 (Colorado)
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
978 (Colorado)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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