| NPI | 1316170145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI R. FUENTES Administrative Secretary 575-746-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3702) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |