| NPI | 1740373224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM D RYAN President CEO 575-392-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM not applicable) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-01-26 |