NPI | 1124465539 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM MARIE CRAFT Business Owner 719-684-6296 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AK 1924) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2016-06-14 |