| NPI | 1720151616 |
|---|---|
| Doing Business As | CORE PT |
| Entity Type | Organization |
| Authorized Contact | AMY MICHELLE STAHL Owner Manager 970-223-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-09-05 |