| NPI | 1114345063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA STEVENS Manager 303-952-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |