| Organization Name: | BEINN SONAS PHYSICAL THERAPY SERVICES |
| NPI Number: | 1104155688 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAMERON W MACDONALD (OWNER) |
| Mailing Address: | 12810 Rampart Range Road Woodland Park |
| State: | CO US |
| Postal Code: | 80863 |
| Phone Number: | 7196878034 |
| Fax Number: | 7195331528 |
| NPI Enumeration Date: | 12/14/2009 |
| NPI Last Update Date: | 12/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 7810 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |