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 |