| NPI | 1073964250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN STEPHENSON Owner 720-525-7643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 47493) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |