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Organization
OCCUPATIONAL PHYSICAL THERAPY ASSOCIATES
Active
Organization
OCCUPATIONAL PHYSICAL THERAPY ASSOCIATES
Active
Other names
Excel Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MOORE (ADMINISTRATOR)
(719) 390-7010
Entity
Organization
Contact information
Practice address
3002 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-3202
(719) 390-7010
(719) 390-8848
Mailing address
3002 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-3202
(719) 390-7010
(719) 390-8848
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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