Abundant Healthcare, PLLC
Physical Medicine & Rehabilitation, Neuromuscular Medicine in Colorado Springs, CO. Organization (NPI-2).
NPI number1023314234
StatusActive
Last updated in NPPESJun 8, 2012
Details
- NPI
- 1023314234
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Healthcare, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2011
- Last updated
- Jun 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081N0008X | Physical Medicine & Rehabilitation, Neuromuscular Medicine | 43404 | CO | Yes |
Practice location
5630 N Academy BlvdColorado Springs, CO 80918-3659
Phone 719-630-0254 · Fax 719-630-0256
Mailing address
5630 N Academy BlvdColorado Springs, CO 80918-3659
Phone 719-630-0254 · Fax 719-630-0256
Authorized official
Karl Larsen
Vice President
7196300254
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