NPI | 1104155688 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMERON W MACDONALD Owner 719-687-8034 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 7716) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 7810) |
Enumeration Date | 2009-12-14 |
Last Update Date | 2009-12-14 |