| NPI | 1588890354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DOUGLAS MACOMBER Manager 303-378-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2021-01-26 |