NPI | 1487867073 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT J. TESORO Owner 970-927-9204 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-08-22 |