| NPI | 1134318777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA (TERRY) STRUCK Owner 719-577-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 27509) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-24 |