| NPI | 1700188851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE VALLEJO Physical Therapist 505-944-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3361) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2011-09-19 |