| NPI | 1568519320 |
|---|---|
| Former Legal Business Name | THE TINY TIM CENTER INC. |
| Entity Type | Organization |
| Authorized Contact | BERNADETTE KOPPANG-MILLER Billing Specialist 303-776-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2026-09-29 |