| NPI | 1124514229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA D JORDAN Co Owner 720-299-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: ND 45290600) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |