Organization
FUNCTIONAL PERFORMANCE MEDICAL SUPPLY, LLC
Active
Parent organization
FUNCTIONAL PERFORMANCE PHYSICAL THERAPY CENTER, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUNCTIONAL PERFORMANCE PHYSICAL THERAPY CENTER, PLLC
Authorized official
LAUREN OSTRY DPT (OWNER)
(970) 215-0565
Entity
Organization
Contact information
Practice address
6169 S BALSAM WAY STE 110, LITTLETON, CO 80123-3000
(303) 948-1868
(303) 948-1741
Mailing address
18293 E EUCLID PL, AURORA, CO 80016-1143
(970) 215-0565
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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