Organization
MICHAEL STIWICH PT LLC
Active
Other names
Revelation Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL F STIWICH PT (OWNER/PT)
(352) 262-0264
Entity
Organization
Contact information
Practice address
2305 E ARAPAHOE RD STE 218, CENTENNIAL, CO 80122-1538
(720) 422-1446
(303) 955-7946
Mailing address
19195 E STANFORD DR, AURORA, CO 80015-2861
(352) 262-0264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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