| NPI | 1225547706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK VERNON HATCH Owner 505-983-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 1833) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |