Organization
CENTER FOR NEUROREHABILITATION SERVICES PC
Active
Other names
Brain Injury Recovery Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L BENNETT PHD (CLINICAL DIRECTOR)
(970) 493-6667
Entity
Organization
Contact information
Practice address
1045 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 493-6667
(970) 493-8016
Mailing address
1045 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 493-6667
(970) 493-8016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
225100000X
Physical Therapist
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04011854
—
CO
05
—
121003300
—
WY
Enumeration date
01/25/2006
Last updated
09/11/2025
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