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Organization
UP & AT 'EM THERAPY STAFFING LLC
Active
Organization
UP & AT 'EM THERAPY STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PETERSON PTA (CO-OWNER)
(719) 480-3438
Entity
Organization
Contact information
Practice address
1012 MAIN ST, ALAMOSA, CO 81101-2445
(719) 480-3438
Mailing address
PO BOX 1294, ALAMOSA, CO 81101-1294
(719) 480-3438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
03/12/2013
Last updated
10/21/2013
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