| NPI | 1174719546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PRICKETT VP/ Treasurer 575-525-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 1147) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2020-11-23 |