| NPI | 1174387138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BROXTON VP 505-487-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-08-28 |