| NPI | 1073129698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CHURCH Owner/Physical Therapist 505-235-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |