| NPI | 1902179021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA M SAMPSEL President 505-321-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NM 2262) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |