| NPI | 1285153569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SLAVA BELITS Owner 303-885-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-07-21 |