| NPI | 1104279603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHAD MADRILL Occupational Therapist 719-546-0532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 989930) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |