| NPI | 1588032130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA M KEENAN Manager And Owner 505-459-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 2350) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |