| NPI | 1033492673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE M KRILING Administrator 505-337-9782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM MD2006-0166) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2023-11-05 |