| NPI | 1891376547 |
|---|---|
| Other Name | CANDELAS PANC |
| Entity Type | Organization |
| Authorized Contact | MARK J CONKLIN President 303-274-7321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |