| NPI | 1013501717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Director Of Credentialing 970-674-6514 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-05-02 |