| NPI | 1104129600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA HAMNER Owner 970-241-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO Dr42907) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2019-08-23 |