| NPI | 1952788432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT TIMOTHY Physician Owner 970-901-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2017-03-22 |