NPI | 1760543490 |
---|---|
Former Legal Business Name | STEPHANIE LOOMIS PT |
Entity Type | Organization |
Authorized Contact | FINN BURNETT GERSTELL President 970-879-7031 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CO 3430) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2019-02-18 |