Basic Information
Provider Information
NPI: 1093368441
EntityType: 2
ReplacementNPI:  
OrganizationName: TRUSTRENGTH PERFORMANCE AND REHAB
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Mailing Information
Address1: 8700 E JEFFERSON AVE UNIT 372156
Address2:  
City: DENVER
State: CO
PostalCode: 802371794
CountryCode: US
TelephoneNumber: 9706917828
FaxNumber:  
Practice Location
Address1: 4875 DTC BLVD STE 9-101
Address2:  
City: DENVER
State: CO
PostalCode: 802373315
CountryCode: US
TelephoneNumber: 9706917828
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/24/2019
LastUpdateDate: 07/24/2019
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: HARMON
AuthorizedOfficialFirstName: ZACH
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 9706917828
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: DPT
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QP2000X  Y Ambulatory Health Care FacilitiesClinic/CenterPhysical Therapy

No ID Information.


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