| NPI | 1962568733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES CHARLAND Director 719-271-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 6755) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |