| NPI | 1780298307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RODRIGUEZ Practice Manager 303-494-7773 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |