| NPI | 1407406127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HAAKSMA President 303-919-6799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |