Village Physical Therapy, P.c.
NPI #1790805000 in Canon City, Colorado
Provider Information
- NPI Number
- 1790805000
- Entity Type
- Organization
- Organization Name
- Village Physical Therapy, P.c.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 30, 2007
- Last Updated
- May 10, 2010
Practice Location
- Address
- 109 LATIGO LN
- Address 2
- SUITE A
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-8112
- Phone
- (719) 562-0328
Authorized Official
- Name
- MS. MICHELE CHILDS, P.T.
- Title
- OWNER-PRESIDENT
- Phone
- (719) 577-4104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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