NPI | 1285999219 |
---|---|
Doing Business As | IN HOME REHAB NORTHERN NEW MEXICO |
Entity Type | Organization |
Authorized Contact | FONTAINE SCOTT SWEARINGEN Owner 505-466-3199 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 1162) |
Enumeration Date | 2012-07-05 |
Last Update Date | 2012-07-09 |