| NPI | 1891471439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHAVEZ Owner 505-280-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |