| NPI | 1861892150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA K WILSON Physical Therapist 719-428-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 0012869) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |