| NPI | 1265318976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE CONNOLLY Administrator 575-525-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |