NPI | 1063454874 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON JANE RECTOR Owner 719-535-2757 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 11278) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CO 5635) |
2251X0800X Physical Therapist, Orthopedic (Licence: CO 13537) | |
225X00000X Occupational Therapist (Licence: CO 2586) | |
2251P0200X Physical Therapist, Pediatrics | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2016-06-13 |