| NPI | 1285602466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LAWTON Director 505-662-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 1558) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 3141) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 1451) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-11-08 |