| NPI | 1801283452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L BACA Physical Therapist/Owner 505-250-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 3533) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |