| NPI | 1134433089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN COOLIDGE PARK Owner 970-218-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL-10363) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |