| NPI | 1013062207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD MATTHEW SIMMONS President 505-888-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 421) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |