NPI | 1700172400 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA RENEE PRUTCH Physical Therapist Assistant 719-214-0922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2008015492) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2011-06-22 |