| NPI | 1750109807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ALEJANDRO OVALLES Athletic Trainer 720-243-8863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |