Organization
SPINAL CORD INJURY RECOVERY PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA NICHOLE WILSON (EXECUTIVE DIRECTOR)
(303) 286-0918
Entity
Organization
Contact information
Practice address
866 E 78TH AVE, DENVER, CO 80229-5934
(303) 286-0918
Mailing address
866 E 78TH AVE, DENVER, CO 80229-5934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47329
CO
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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