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Organization

SOUTHERN COLORADO HEALTH & REHAB

Active
Parent organization
SOUTHERN COLORADO HEALTH & REHAB LLC
Other names
Momentum Physical Therapy of Pueblo
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN COLORADO HEALTH & REHAB LLC
Authorized official
BLAINE STIMAC MSPT (MANAGING MEMBER)
(406) 756-1128
Entity
Organization

Contact information

Practice address
1630 FORTINO BLVD, PUEBLO, CO 81008-1856
(719) 281-3184
(719) 299-4088
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
09/29/2020
Last updated
09/29/2020
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