Provider Detail

NPI : 1992345052

Tax ID : 843566212

Provider/Facility Name : OHANA PHYSICAL THERAPY

Address: 130 ROCKPOINT DRIVE, SUITE , DURANGO COLORADO 81301

Zipcode : 81301

Callback# : 970-422-1121 extension 101

CPT/Procedure code: 97110 - 97140 - 97530 - 97112 - 97116

Place of service/ service being render? : OFFICE SETTING - PROFESSIONAL BILLING - FOR REHABILITATION

NOT related to ABA/AUTISM/SUBSTANCE ABUSE/MENTAL HEALTH