Individual provider · Type 1 NPI
Derrick Blane Monson, PTA
Assisted Living Facility · Lamar, CO
NPI number
1750574729
Active
Practice location
508 South 9th Street, Apt. # 13
Lamar, CO 81052-3239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1750574729
Derrick Blane Monson, PTA's National Provider Identifier is 1750574729, issued on Aug 23, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lamar, CO. The record was last updated on Aug 23, 2007.