| NPI | 1316548118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CRISTOFF Owner 970-689-3236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |