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 |