| NPI | 1992109243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN L SWANSON Executive Director 719-522-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR0018703) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |