| NPI | 1396568754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY DALTON Physical Therapist 505-850-0356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |