| NPI | 1285736751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT CHOU Owner Member LLC 505-984-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 2489) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2008-09-04 |