| NPI | 1619482064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE JIRON Physical Therapist 505-321-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 4515) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-04-13 |