| NPI | 1295866770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PETTIT Owner 970-927-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 2906) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 2906) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-03-02 |