| NPI | 1619381175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAS TORRES Credentialing 505-722-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 14-00002839) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2023-11-15 |