| NPI | 1598090771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN POLVI Manager 719-533-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2024-01-31 |