| NPI | 1649402108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLFO MENDEZ Physical Therapy Assistant 970-590-3948 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 2251500000) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |