| NPI | 1841799574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SCOTT BAINBRIDGE Owner/Manager 303-522-5219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 0029017) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4217) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CO DR0029017) | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-03-22 |