| NPI | 1225047459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANUSIA KIDANE Director 505-954-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 1562) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 1011) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM 2423) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-10-30 |