| NPI | 1336579085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S STOCKWELL Director 970-749-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 2925) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2013-11-16 |