NPI | 1487873121 |
---|---|
Former Legal Business Name | PATTY PENNEL MSPT INC |
Entity Type | Organization |
Authorized Contact | MICHAEL EMMONS HOUSE Owner 303-832-5577 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 4054) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2021-06-22 |