| NPI | 1508456963 |
|---|---|
| Other Name | OUTPATIENT THERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | KRISTIN MOORE WALDROP Director Of Compliance & Quality Ma 719-574-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |