| NPI | 1598231649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA MOMENI Occupational Therapist 505-506-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2022-04-20 |