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Organization
PEAK FORM LLC
Active
Organization
PEAK FORM LLC
Active
Other names
Peak Form Medical Clinic, Peak Form Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA OCONNOR (FRONT DESK COORDINATOR)
(303) 655-9005
Entity
Organization
Contact information
Practice address
1260 E 1ST AVE, BROOMFIELD, CO 80020-3792
(303) 655-9005
Mailing address
1093 E BRIDGE ST, BRIGHTON, CO 80601-2252
(303) 655-9005
(303) 655-0063
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
NULL
224Y00000X
Clinical Exercise Physiologist
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/02/2021
Last updated
08/04/2021
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