Organization
COLORADO REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN STEPHENSON D.O. (OWNER)
(720) 525-7643
Entity
Organization
Contact information
Practice address
4567 E 9TH AVE, DENVER, CO 80220-3908
(720) 525-7643
Mailing address
4810 W 69TH DR, WESTMINSTER, CO 80030-5745
(720) 525-7643
(888) 379-3284
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
47493
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33857075
—
CO
Enumeration date
06/28/2016
Last updated
06/28/2016
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