| NPI | 1477542041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARIE STEVENS Physical Therapist/Managing Partner 505-546-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2570) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2010-07-15 |