NPI | 1578953634 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY PONCAR Massage Therapist 303-332-1903 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CO MT.0003476) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-01-28 |