Organization
REHABILITATION MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WILSON MD (PRESIDENT/OWNER)
(970) 631-6500
Entity
Organization
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, STE 5340 5TH FLOOR REHAB, LOVELAND, CO 80538-9004
(303) 761-1215
(303) 762-1701
Mailing address
915 W LEHIGH AVE UNIT 1979, ENGLEWOOD, CO 80150-2740
(303) 761-1215
(303) 762-1701
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
47301
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95084321
—
CO
Enumeration date
09/28/2015
Last updated
10/19/2016
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