| NPI | 1669498556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELBY HEATH STEPHENS President 575-838-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3059) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 2067) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-06-30 |