| NPI | 1225665219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA NEWMAN Billing Manager 719-597-0822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |