| NPI | 1104113364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W RACCA President Practice 505-724-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251H1200X Physical Therapist, Hand | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225X00000X Occupational Therapist | |
| 225XE1200X Occupational Therapist, Ergonomics | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2025-06-24 |