| NPI | 1669659488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JEAN RICH Owner 505-306-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 290) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-10-09 |