Healthcare Provider Details
I. General information
NPI: 1417987645
Provider Name (Legal Business Name): HARMONY HAND & PHYSICAL THERAPY CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/04/2006
Last Update Date: 04/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3744 S TIMBERLINE RD SUITE 103
FORT COLLINS CO
80525-4333
US
IV. Provider business mailing address
3744 S TIMBERLINE RD SUITE 103
FORT COLLINS CO
80525-4333
US
V. Phone/Fax
- Phone: 970-204-4263
- Fax: 970-204-4552
- Phone: 970-204-4263
- Fax: 970-204-4552
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | 39642 |
| License Number State | CO |
VIII. Authorized Official
Name: MRS.
BRENDA
CUMMINGS
Title or Position: OWNER/ OCCUPATIONAL THERAPIST
Credential: OTR, CHT
Phone: 970-204-4263