Organization
FUNCTIONAL PERFORMANCE PHYSICAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CLIFFORD PT, DPT (DIRECTOR)
(303) 981-9870
Entity
Organization
Contact information
Practice address
12257 S WADSWORTH BLVD, LITTLETON, CO 80125-8504
(303) 981-9870
(303) 416-4271
Mailing address
6169 S BALSAM WAY, STE 110, LITTLETON, CO 80123-3062
(303) 948-1868
(303) 948-1741
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9903
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518193895
NPI- ORGANIZATION
CO
Enumeration date
07/22/2009
Last updated
12/02/2009
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