| NPI | 1821871823 |
|---|---|
| Doing Business As | DIRECT SOURCE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | AUNDREA LUCERO Owner/Operator 303-219-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |