| NPI | 1144685801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA E DEBORD Manager 970-492-5619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 8810) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2018-05-16 |