| NPI | 1699801381 |
|---|---|
| Doing Business As | CIBOLA SPORTS AND PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARY LOU LANGFORD President 505-876-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 212) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-10-24 |