| NPI | 1104057736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRIE WEINER ROSS Owner/President 505-341-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 93-377) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |