| NPI | 1841028818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE UNDERWOOD Occupational Therapist 505-750-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-24 |