| NPI | 1518151505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDE A SCHUSTER Member 505-445-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 2329) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NM 2268) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM 585) | |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2008-09-20 |