| NPI | 1881946192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY NICHOLAS President/Owner 303-221-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-29 |