| NPI | 1427390558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A BARBOUR Physical Therapist 970-404-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MA 18005) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: CO 6714) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |