Organization
CONNECT MOVEMENT CENTER LLC
Active
Other names
Connect Movement Center
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE CHEN BENTIVOLIO (OWNER)
(719) 838-4083
Entity
Organization
Contact information
Practice address
540 FRONT STREET, FAIRPLAY, CO 80440
(630) 881-7866
Mailing address
PO BOX 1945, FAIRPLAY, CO 80440-1945
(719) 293-5198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000186967
—
CO
Enumeration date
08/01/2020
Last updated
05/15/2023
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