| NPI | 1841205200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J PATTILLO President, Administrative Manager 575-439-1397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-04-20 |