| NPI | 1770960643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDI S PESTER Owner 915-373-3453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 5038782) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |