Provider First Line Business Practice Location Address:
5988 STETSON HILLS ROAD
Provider Second Line Business Practice Location Address:
PT WORKS PC POWERS CLINIC
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-593-1337
Provider Business Practice Location Address Fax Number:
719-593-2934
Provider Enumeration Date:
12/02/2005