NPI | 1366463457 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER MAY Owner 720-535-9086 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 904-024) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 254) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |