| NPI | 1396124517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE RUTH KENYON Owner 505-992-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 4090) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |