| NPI | 1952427049 |
|---|---|
| Other Name | BOULDER ORTHOPEDICS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LYNN M ICKES Billing Manager 303-449-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-07-21 |