| NPI | 1285025767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHRYN COBURN Speech Language Pathologist 575-442-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |