NPI | 1417319781 |
---|---|
Entity Type | Organization |
Authorized Contact | NICKI MARIE MCDANIEL Lead PT 505-699-5190 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OR 5138) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2016-03-24 |