# CHILDREN'S HOSPITAL COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Childrens Therapy Care at Printers Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003264912
- **Authorized official:** MS. JACQUELINE THERRIEN PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (719) 305-8438

## Contact information

- **Practice address:** 175 S UNION BLVD, 255, COLORADO SPRINGS, CO 80910-3113
- **Practice address phone:** (719) 305-8109
- **Mailing address:** 175 S. UNION BLVD, 255, COLORADO SPRINGS, CO 80910
- **Mailing address phone:** (719) 305-8109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | PTL.0013449 | CO | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 06/01/2016