| NPI | 1124180419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R. JARAMILLO Finance Director 505-454-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-06-02 |