| NPI | 1770596116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG DAVID MCMANUS Physical Therapist Owner 505-326-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2823) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2017-03-02 |