| NPI | 1538936539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN FRED Owner/Physical Therapist 720-527-8726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |