| NPI | 1124195540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J BONILLA Occupational Therapist 505-699-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 2181) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 2133) |
| 225100000X Physical Therapist (Licence: NM 3205) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |