| NPI | 1720029598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE PERCY Owner 719-667-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO Not required in Colo) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-04-14 |