Organization
MONUMENT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA M HARDY (OWNER)
(303) 907-0564
Entity
Organization
Contact information
Practice address
321 ROOD AVENUE, UNIT 100, GRAND JUNCTION, CO 81501
(970) 325-6026
(970) 325-6169
Mailing address
406 CHIPETA AVENUE, GRAND JUNCTION, CO 81501
(303) 907-0564
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000189527
—
CO
Enumeration date
09/21/2020
Last updated
01/26/2022
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