| NPI | 1407268923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ELIZABETH LELAND-HEINO Owner 575-770-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 612) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |