| NPI | 1578963229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH BOGGS Owner, Physical Therapist 720-421-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WY 1439) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WY 1439) |
| Enumeration Date | 2014-08-31 |
| Last Update Date | 2014-08-31 |