| NPI | 1770896060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO GUIDO RODRIGUEZ Director 970-356-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 8500) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2011-02-03 |