| NPI | 1265550313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRONNY BROOKS Manager 303-761-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 4489) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CO 4489) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CO 4489) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2009-03-23 |