Organization
CORTEZ PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE M. MULLIKIN P.T. (OWNER)
(970) 533-7649
Entity
Organization
Contact information
Practice address
121 RAILROAD AVE, MANCOS, CO 81328-9059
(970) 533-7649
(970) 533-9089
Mailing address
121 RAILROAD AVE, MANCOS, CO 81328-9059
(970) 533-7649
(970) 533-9089
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
1930 PHYSICL THERAP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66021081
—
CO
Enumeration date
11/07/2006
Last updated
07/24/2007
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