Organization
DEVELOPMENTAL PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILY M FRASCH PT (PRES)
(719) 475-0477
Entity
Organization
Contact information
Practice address
2210 LELARAY ST, COLORADO SPRINGS, CO 80909
(719) 475-0477
(719) 475-1021
Mailing address
2210 LELARAY ST, COLORADO SPRINGS, CO 80909
(719) 475-0477
(719) 475-1021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01101574
CO
225X00000X
Occupational Therapist
01101574
CO
235Z00000X
Speech-Language Pathologist
01101574
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07110158
—
CO
Enumeration date
03/07/2007
Last updated
12/22/2009
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