| NPI | 1629078126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R HOERNING R PT Director 505-984-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NM 3125) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |