| Neurological Rehabilitation Resource Pc | |
|
8515 Pearl St 203 Thornton CO 80229-4809 | |
| (303) 288-7882 | |
| (303) 288-7874 |
| Full Name | Neurological Rehabilitation Resource Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8515 Pearl St, Thornton, Colorado |
| Authorized Official Name and Position | Jonathan Hugh Woodcock (PRESIDENT) |
| Authorized Official Contact | 3032887882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurological Rehabilitation Resource Pc 8515 Pearl St 203 Thornton CO 80229-4809 Ph: (303) 288-7882 | Neurological Rehabilitation Resource Pc 8515 Pearl St 203 Thornton CO 80229-4809 Ph: (303) 288-7882 |
| NPI Number | 1316944283 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316944283 | NPI | - | NPPES |
| 04019857 | Medicaid | CO | |
| WOL5918 | Other | CO | ANTHEM BLUE CROSS BLUE SH |
| JOL5908 | Other | CO | ANTHEM BLUE CROSS BLUE SH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 29436 (Colorado) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 29436 (Colorado) | Secondary |
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