| NPI | 1720575459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET PORTE Owner 575-748-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-06-26 |