| NPI | 1265049183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT PAUL CARMELLINI Owner/Therapist 303-665-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-02-16 |