| NPI | 1932120052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE ROYCE Office Team Lead 505-338-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 94364) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-12-07 |