| NPI | 1801907662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PAUL FOGARTY Owner Physical Therapist 719-265-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-02-12 |