| NPI | 1053359117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GAIL SHARP Manager 303-770-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 7330) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-02-27 |