| NPI | 1336282854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHAD MADRILL Occupational Therapist 719-546-0532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 989930) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |