| NPI | 1720575459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PORTE Owner 575-748-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 2169) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 235Z00000X Speech-Language Pathologist, (Licence: NM SLP4214) | |
| 224Z00000X Occupational Therapy Assistant (Licence: NM 2004) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-06-01 |