| NPI | 1033247499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE M. ROY Vice President, Treasurer 505-345-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2875) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-12-19 |