Provider First Line Business Practice Location Address:
8900 PENA BLVD
Provider Second Line Business Practice Location Address:
DIA PHYSICAL THERAPY # B
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80249
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-317-0179
Provider Business Practice Location Address Fax Number:
303-317-0193
Provider Enumeration Date:
05/11/2007