| NPI | 1922413376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COBY L LIVINGSTONE Occupational Therapist 505-259-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: NM 3146) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |