| NPI | 1578102596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFF LIPTON Owner/Office Manager 719-574-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |