| NPI | 1922153733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE D CRUZ Physical Therapist 505-883-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 331) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-06-16 |