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 |