| NPI | 1073067211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY H CHORMICLE Owner 575-639-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 2722) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |