| NPI | 1215653837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY ELIZABETH JOHNSON Physical Therapist 303-501-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |