| NPI | 1962379370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER EDMUNDSON President 720-600-0370 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2026-05-29 |