| NPI | 1366801862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ORTIZ President 505-459-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist Environmental Modification (Licence: NM 381909) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |