| NPI | 1144618851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ERIN DEBORD Owner 970-492-5619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 8810) |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2015-01-03 |