| NPI | 1548709728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA JOHNSON Medical Director 303-463-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208D00000X General Practice |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2018-10-09 |