| NPI | 1669639043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MARTIN BACA Owner/Physical Therapist 505-797-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 2401) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2013-08-20 |