Bal Swan Children's Center

NPI #1548479561 in Broomfield, Colorado

Provider Information

NPI Number: 1548479561
Entity Type: Organization
Organization Name: Bal Swan Children's Center
Primary Specialty: Developmental Therapist
Enumeration Date: May 22, 2007
Last Updated: Jun 24, 2008

Practice Location

Address: 1145 E 13TH AVE
City: Broomfield
State: Colorado
ZIP Code: 80020-1301
Phone: (303) 466-6308

Authorized Official

Name: MR. BRIAN SCOTT CONLY
Title: EXECUTIVE DIRECTOR
Phone: (303) 466-6308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Pediatrics — Pediatrics	2251P0200X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Developmental Therapist	222Q00000X	Primary

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