| NPI | 1215223037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W RACCA President 505-724-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251E1200X Physical Therapist, Ergonomics | |
| 2251S0007X Physical Therapist, Sports | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2023-07-21 |