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Organization

INTERMOUNTAIN REHABILATATION ASSOC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK ROOK (OFFICER)
(719) 227-0101
Entity
Organization

Contact information

Practice address
923 W COLORADO AVE, COLORADO SPRINGS, CO 80905-1517
(719) 227-0101
(719) 227-0303
Mailing address
923 W COLORADO AVE, COLORADO SPRINGS, CO 80905-1517
(719) 227-0101
(719) 227-0303

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30128
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01-301282
CO
Enumeration date
04/07/2008
Last updated
04/07/2008
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