Healthcare Provider Details
I. General information
NPI: 1336228238
Provider Name (Legal Business Name): ASSOCIATES IN PHYSICAL THERAPY OF FORT COLLINS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2006
Last Update Date: 11/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1136 E STUART ST BLDG 2 SUITE 2140
FORT COLLINS CO
80525-5315
US
IV. Provider business mailing address
1136 E STUART ST BLDG 2 SUITE 2140
FORT COLLINS CO
80525-5315
US
V. Phone/Fax
- Phone: 970-221-2942
- Fax:
- Phone: 970-221-2942
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 2882 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 1475 |
| License Number State | CO |
VIII. Authorized Official
Name: MRS.
PATRICIA
MAUREEN
LAMB BEST
Title or Position: OWNER PHYSICAL THERAPIST
Credential: PT, OTR, CHT
Phone: 970-221-2942