| NPI | 1902240088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDIVINA OPHELIA GURULE Owner 575-317-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 2481) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |