| NPI | 1497784102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY BENECK Secretary 970-663-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 3071) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 1011100555) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-09-13 |