| NPI | 1538238399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE M. MULLIKIN Owner 970-533-7649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: CO 1930 Physicl Therap) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-24 |