| NPI | 1013415165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BOWMAN Member 303-210-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CO 0002984) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |