| NPI | 1295783678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ELISE KREISBERG Owner 720-226-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 7232) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-01-30 |