| NPI | 1962632620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D. BONACK Owner 719-694-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 2373) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2018-10-05 |