| NPI | 1558905349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESTI SUGGS Owner 719-209-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |