| NPI | 1710296496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVYROSE GONZALES Occupational Therapist 505-350-3069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |