| NPI | 1487220851 |
|---|---|
| Doing Business As | FUNCTION |
| Entity Type | Organization |
| Authorized Contact | JAIME SANCHEZ Officer 575-993-9890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |