| NPI | 1417016536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY D BROWN Owner 719-546-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 4230) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 2749) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-02-06 |