| NPI | 1083601967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. MICHAEL JONES Office Manager 575-758-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 888) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2013-05-17 |