| NPI | 1235806696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PICKERILL Owner 719-425-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-05-16 |