| NPI | 1326229287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H BISSELL Owner 719-635-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 27753) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2022-07-28 |