| NPI | 1447268958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN STOKLOSA Owner/President 505-425-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 6614) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-02-06 |