| NPI | 1558654483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERYL W. PALMER Board Of Director 575-642-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM I-06859) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2024-03-27 |