| NPI | 1760995047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANN WESLEY Member 303-550-6786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO 9360) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |