| NPI | 1720386543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L SLOAN Owner 970-690-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 1209) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8089) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2014-06-17 |