| NPI | 1396964318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DALKYU PARK Managing Officer 505-514-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM 2033) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |