| NPI | 1497125975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WILSON President/Owner 970-631-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 47301) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2016-10-19 |