Organization · NPI-2
Action Potential Rllp
Physical Therapist · Colorado Springs, CO
NPI number1013961770
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1013961770
- Entity type
- Organization (NPI-2)
- Legal business name
- Action Potential Rllp
- Organization subpart
- No
- Enumeration date
- May 19, 2006
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Other names
- Action Potential (Doing Business As)
Practice location
1612 E Pikes Peak AveColorado Springs, CO 80909-5619
Phone 719-630-3193 · Fax 719-235-5983
Mailing address
2035 Corte Del Nogal Ste 200Carlsbad, CA 92011-1445
Authorized official
Robert Pace
Owner
2138041712
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