| NPI | 1699859868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED J ESPARZA Owner 505-830-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2523) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NM 2523) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NM 2523) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-05-04 |