| NPI | 1356540934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ELIZABETH HERNANDEZ Owner/Vice President/Lmt/Cmnt PT 505-265-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: NM 2679) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |