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Organization
PHYSIOCARE
Active
Organization
PHYSIOCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN POLVI (MANAGER)
(719) 533-1000
Entity
Organization
Contact information
Practice address
3425 AUSTIN BLUFFS PKWY STE 100, COLORADO SPRINGS, CO 80918-5701
(719) 533-1000
Mailing address
3425 AUSTIN BLUFFS PKWY STE 100, COLORADO SPRINGS, CO 80918-5701
(719) 533-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
10/06/2009
Last updated
01/31/2024
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