| NPI | 1083609234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J HAZLETT President 970-472-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CO 2335) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |