| NPI | 1659425809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROBERTSON Co Owner 505-983-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 1183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 965) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |