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Organization
LIFE AND FAMILY REHABILITATION
Active
Organization
LIFE AND FAMILY REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN L ZAHNER III PT, DPT (PHYSICAL THERAPIST, DIRECTOR)
(208) 403-2062
Entity
Organization
Contact information
Practice address
150 MORNING SUN DR STE 100, WOODLAND PARK, CO 80863-9160
(719) 602-5503
Mailing address
5470 FLAG WAY, COLORADO SPRINGS, CO 80919-2499
(208) 403-2062
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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