| NPI | 1871548750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANORA THERESA PREMEAU Physical Therapist 719-539-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 6910) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-08-15 |