NPI | 1821270828 |
---|---|
Doing Business As | EAST MOUNTAIN PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | CHERYL W FOWLER Owner/ Authorized Representative 505-220-6949 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2007-11-30 |
Last Update Date | 2011-12-22 |