Organization
MOUNTAIN VALLEY REHABILITATION, PC
Active
Other names
The Physical Therapy Specialty Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON A CAVANAH (FINANCIAL MANAGER)
(970) 241-5856
Entity
Organization
Contact information
Practice address
3150 N 12TH ST, GARDEN LEVEL, GRAND JUNCTION, CO 81506-2863
(970) 241-5856
(970) 241-8599
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 241-5856
(970) 241-8599
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
498
HMO PROVIDER #
CO
01
—
PHR1403
BLUE CROSS BLUE SHIELD #
CO
Enumeration date
06/10/2006
Last updated
07/21/2022
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