| NPI | 1598213852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ANN FORNO Occupational Therapist 970-779-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |