| NPI | 1023314234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL LARSEN Vice President 719-630-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: CO 43404) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2012-06-08 |