| NPI | 1245267632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SALAZAR Office Manager 505-234-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 2043) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-22 |