| NPI | 1801068523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHESHYAM D BHATT Owner And Provider 575-885-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 302) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-08 |