| NPI | 1023166501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE JAY KNACKSTEDT President 505-265-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 144) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |