| NPI | 1750236857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIESA D WOOD President 719-265-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2026-03-03 |
| Last Update Date | 2026-04-22 |