| NPI | 1386728285 |
|---|---|
| Doing Business As | DURANGO SPORTS CLUB PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ANNE P JACKSON Administrative Director 970-385-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-12-21 |