Organization
COLORADO CENTER FOR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MATHWICH (OWNER)
(303) 702-1612
Entity
Organization
Contact information
Practice address
205 S MAIN ST, SUITE C, LONGMONT, CO 80501-1716
(303) 702-1612
(303) 774-7899
Mailing address
205 S MAIN ST, SUITE C, LONGMONT, CO 80501-1716
(303) 702-1612
(303) 774-7899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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