| NPI | 1124383930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA GOROSKI Administrative Assistant 719-583-7183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN 9310) |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2012-07-09 |