| NPI | 1265609317 |
|---|---|
| Former Legal Business Name | POTOMAC PHYSICAL THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE KLEIN VP Of Operations 303-341-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CO 1162) | |
| 103T00000X Psychologist (Licence: CO 3393) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2015-12-29 |