NPI | 1851776694 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT MCCAULEY Provider 970-691-3504 |
Organization Subpart ? | No |
Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: CA 43805) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 37416) |
Enumeration Date | 2015-07-22 |
Last Update Date | 2015-07-22 |