| NPI | 1295337715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PICKERILL Owner 719-425-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2022-05-16 |