| NPI | 1083200620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDLER HILDEBRANDT Practice Manager 303-346-0024 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-03-07 |