| NPI | 1386943041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MAIDMENT Manager 505-328-3197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 600) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |