Norma Brough

Individual provider Active NPI Physical Therapist · Monument, CO

NPI 1003079591 · NPPES record last updated Jul 6, 2008

Key facts

NPI
1003079591
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1044 (CO)
Practice address
18565 Arrowwood Dr
Monument, CO 80132-8776
Phone
(719) 488-0344
Fax
(719) 488-0344
NPI assigned
Jul 6, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1044COMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1044 CO Yes

Addresses

Primary practice location

18565 Arrowwood Dr
Monument, CO 80132-8776

Mailing address

18565 Arrowwood Dr
Monument, CO 80132-8776

Other providers in Monument, CO

All providers in Monument, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.