Organization
CHILD DEVELOPMENT CENTER OF COLORADO SPRINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFF LIPTON (OWNER/OFFICE MANAGER)
(719) 574-8300
Entity
Organization
Contact information
Practice address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
(719) 574-8300
Mailing address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04002762
—
CO
Enumeration date
11/25/2019
Last updated
11/25/2019
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