| NPI | 1174642045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD A. CLARK Physical Therapist, Owner 719-565-6678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 5835) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-01-10 |