| NPI | 1790805000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE CHILDS Owner President 719-577-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 1497) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2010-05-10 |