| NPI | 1750929543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CAROLINE FLYNN Dir. Of Hr And Finance 970-221-1201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-16 |