| NPI | 1790994333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY GEIGER Credentialing 575-647-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM A-1315-05) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-03-01 |