| NPI | 1326088097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB P JACOB Owner 970-619-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 43793) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-02-27 |