NPI | 1720099559 |
---|---|
Doing Business As | MYOREHAB |
Entity Type | Organization |
Authorized Contact | GEORGE SERGIO PELLEGRINO Vice President 505-872-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 2193) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 4498) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2020-08-22 |