| NPI | 1245730597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELISE LANE Owner 303-993-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO PTL0008000) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |