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NPI Code Detail

MEDICARE: MOUNTAINTOP PHYSICAL THERAPY PC

MEDICARE: MOUNTAINTOP PHYSICAL THERAPY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center7376CO

General Provider Information

NPI Number : 1407976558
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAINTOP PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 1632 BIG THOMPSON AVE # A
Second Line :
City : ESTES PARK
State : CO
Zip : 80517-8938
Country : US
Telephone Number : 970-577-8200
Fax Number : 970-577-8204
Provider Business Practice Location Address
First Line : 1632 BIG THOMPSON AVE # A
Second Line :
City : ESTES PARK
State : CO
Zip : 80517-8938
Country : US
Telephone Number : 970-577-8200
Fax Number : 970-577-8204
Authorized Official
Title or Position : OWNER
Name : MS. ANNE SLACK
Credential : PHYSICAL THERAPIST
Telephone Number : 970-577-8200
Provider Enumeration Date : 03/30/2007
Last Update Date : 10/25/2011

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Directions to “MOUNTAINTOP PHYSICAL THERAPY PC ” Practice Location

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