| NPI | 1043340979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY M FRASCH Pres 719-475-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 01101574) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 01101574) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO 01101574) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-12-22 |