| NPI | 1134270085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY R THOMAS Physical Therapist 9780-349-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 3665) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-01-17 |