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Organization

PEAK FORM LLC

Active
Other names
Peak Form Medical Clinic, Peak Form Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA OCONNOR (FRONT DESK COORDINATOR)
(303) 655-9005
Entity
Organization

Contact information

Practice address
1260 E 1ST AVE, BROOMFIELD, CO 80020-3792
(303) 655-9005
Mailing address
1093 E BRIDGE ST, BRIGHTON, CO 80601-2252
(303) 655-9005
(303) 655-0063

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
224Y00000X
Clinical Exercise Physiologist
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225700000X
Massage Therapist
225X00000X
Occupational Therapist

Other

Enumeration date
08/02/2021
Last updated
08/04/2021
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