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Organization
VILLAGE PHYSICAL THERAPY, P.C.
Active
Organization
VILLAGE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE CHILDS P.T. (OWNER-PRESIDENT)
(719) 577-4104
Entity
Organization
Contact information
Practice address
109 LATIGO LN, SUITE A, CANON CITY, CO 81212-8112
(719) 562-0328
(719) 575-0872
Mailing address
545 E PIKES PEAK AVE, SUITE 320, COLORADO SPRINGS, CO 80903-3637
(719) 577-4104
(719) 575-0872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1497
CO
Other
Enumeration date
03/30/2007
Last updated
05/10/2010
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