NPI | 1760958730 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC DOUGLAS PAYNE Owner 505-257-8288 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2018-10-17 |
Last Update Date | 2018-10-17 |