| NPI | 1780288753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON YISU PARK CEO/ President 720-240-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2022-02-17 |