NPI | 1215992391 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL R HOERNING R PT Director 505-984-2032 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 1T3225) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2020-08-22 |