| NPI | 1942458617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI L BERGERON Physical Therapist, Registered Agen 970-470-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO 8661) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |