Physiom Associates, PLLC
Physical Medicine & Rehabilitation in Fort Collins, CO. Organization (NPI-2).
NPI number1124100763
StatusActive
Last updated in NPPESJun 23, 2011
Details
- NPI
- 1124100763
- Entity type
- Organization (NPI-2)
- Legal business name
- Physiom Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2006
- Last updated
- Jun 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
1300 Oakridge Dr#130
Fort Collins, CO 80525-5564
Phone 970-377-9555 · Fax 970-377-9559
Mailing address
1300 Oakridge Dr#130
Fort Collins, CO 80525-5564
Phone 970-377-9555 · Fax 970-377-9559
Authorized official
Bruce A Lockwood
Officer
9703779555
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