| NPI | 1427691740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A QUINN Manager 970-948-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |