| NPI | 1427298140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GATES Practice Manager 719-465-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 8111) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 8589) |
| Enumeration Date | 2009-02-21 |
| Last Update Date | 2024-01-05 |