| NPI | 1285053918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HAYS Patient Services Coordinator 505-899-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM A-0959) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |