NPI | 1356668990 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORA A LANPHERE Occupational Therapist/Owner 505-710-7668 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 1591) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NM 1591) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2010-12-06 |